Khearra Mosley, MA
Individual provider Active NPI Mental Health Counselor · Waynesboro, TN
NPI 1417577750 · NPPES record last updated Mar 13, 2024
Key facts
- NPI
- 1417577750
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 5553 (TN)
- Practice address
- 523 S Main St
Waynesboro, TN 38485-2658 - Phone
- (931) 332-1956
- NPI assigned
- Apr 16, 2020
- 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)
- Yes
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5553 | TN | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 5553 | TN | Yes |
| Mental Health Counselor | 101YM0800X |
Addresses
Primary practice location
523 S Main St
Waynesboro, TN 38485-2658
Mailing address
523 S Main St
Waynesboro, TN 38485-2658
Phone (931) 332-1956
Other providers in Waynesboro, TN
- Pamela Jean May
- Medi-Serv. Inc.
- Kelsey L Mercer
- Cayley Jae Merriman
- Rhonda Penelope Moore
- MRH Dba WMC
- Joseph C. Murphy
- Ashley Danielle Musselwhite
- Donald Gabriel Polk
- Donald H Polk
All providers in Waynesboro, TN · Mental Health 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 Mar 13, 2024. 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.