Anthony Lima Scott Leininger

Individual provider Active NPI Mental Health Counselor · Tennessee Ridge, TN

NPI 1598280992 · NPPES record last updated Aug 7, 2017

Key facts

NPI
1598280992
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
Practice address
1330 N Main St
Tennessee Ridge, TN 37178-4003
Phone
(931) 721-3313
NPI assigned
Aug 7, 2017
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Yes

Addresses

Primary practice location

1330 N Main St
Tennessee Ridge, TN 37178-4003

Mailing address

1330 N Main St
Tennessee Ridge, TN 37178-4003
Phone (931) 721-3313

Other providers in Tennessee Ridge, TN

All providers in Tennessee Ridge, TN · Mental Health Counselor in Tennessee

Sources for this page

Verify at the official NPI Registry.