Maryellen McCone, LPC/MHSP
Individual provider Active NPI Professional Counselor · Sewanee, TN
NPI 1134484934 · NPPES record last updated Jul 8, 2012
Key facts
- NPI
- 1134484934
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 2838 (TN)
- Practice address
- 15260 Sewanee Hwy
Sewanee, TN 37375-2788 - Phone
- (931) 636-4415
- NPI assigned
- Jul 8, 2012
- 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 |
|---|---|---|---|
| 2838 | TN | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 2838 | TN | Yes |
Addresses
Primary practice location
15260 Sewanee Hwy
Sewanee, TN 37375-2788
Mailing address
PO Box 7
Sewanee, TN 37375-0007
Phone (931) 636-4415
Other providers in Sewanee, TN
- Alton Ray Knight II
- Louis E Koella
- Lauren Laurino
- Lawrence William Costa, Jr.
- Catherine Lynn Martin
- Robin Hille Michaels
- Brooke Shoemaker Moody
- Mountain Mobile Massage LLC
- Nicole Aimee Noffsinger-Frazier
- Mary Pate-Bennett
All providers in Sewanee, TN · Professional Counselor 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, 2012. 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.