Judith R Roney, LMFT & LPC-MHSP
Individual provider Active NPI Marriage & Family Therapist · MC Minnville, TN
NPI 1104032283 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1104032283
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- 0000000030 (TN)
- Practice address
- 743 Country Club Drive
MC Minnville, TN 37110-5011 - Phone
- (931) 668-9202
- Fax
- (931) 668-4410
- NPI assigned
- May 15, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0000000030 | TN | MD | Massage Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 0000000030 | TN | Yes |
Addresses
Primary practice location
743 Country Club Drive
MC Minnville, TN 37110-5011
Mailing address
743 Country Club Dr
MC Minnville, TN 37110-5011
Phone (931) 668-9202
Other providers in MC Minnville, TN
- River Park Hospital LLC
- River Park Hospital LLC
- River Park Physician Group LLC
- Michael Ray Roberts
- Rock Island Medical Group
- Seibers DME & Oxygen
- Herbert X Smith
- Jacqueline T Smith
- Sandra Stafford
- Stanley R Martin, O.D.
All providers in MC Minnville, TN · Marriage & Family Therapist in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.