Individual
MATTIE N CROCKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, MHSP
Contact information
Practice address
1536 BRIDGEWATER LN STE 104, KINGSPORT, TN 37660-4103
(423) 534-7824
Mailing address
301 LARKSPUR DR, KINGSPORT, TN 37660-6225
(276) 639-5676
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4912
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4912
LPC-MHSP
TN
Enumeration date
05/13/2021
Last updated
08/14/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us