Mary M Brohimer, MA, LPC-MHSP
Individual provider Active NPI Professional Counselor · Elizabethton, TN
NPI 1609101575 · NPPES record last updated Jun 5, 2024
Key facts
- NPI
- 1609101575
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- LPC1781 (TN)
- Practice address
- 222 Clay Little Rd
Elizabethton, TN 37643-7644 - Phone
- (423) 341-2035
- NPI assigned
- Oct 12, 2009
- 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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC1781 | TN | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC1781 | TN | Yes |
Addresses
Primary practice location
222 Clay Little Rd
Elizabethton, TN 37643-7644
Mailing address
222 Clay Little Rd
Elizabethton, TN 37643-7644
Phone (423) 341-2035
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1516680 | Medicaid | TN |
Other providers in Elizabethton, TN
- Shannon B Bramlette
- Megan M Brannon
- Jonathan Scott Bremer
- Sophie Bremer
- Megumi Osaku Britt
- Ashley Michelle Brown
- Victoria Jacqueline Bryant
- Ivy D Buerkle
- Burgie Drug Store LLC
- Donna Lisa Burleson
All providers in Elizabethton, 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 Jun 5, 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.