Anisa Abdosh
Individual provider Active NPI Mental Health Counselor · Bristol, TN
NPI 1679926802 · NPPES record last updated Jul 23, 2016
Key facts
- NPI
- 1679926802
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 000856717 (TN)
- Practice address
- 879 Highway 126 Ste B
Bristol, TN 37620-3308 - Phone
- (423) 930-7408
- NPI assigned
- Jul 23, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
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 |
|---|---|---|---|
| 000856717 | TN | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| A Loving Hand Home Care Services | Mental Health | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 000856717 | TN | Yes |
Addresses
Primary practice location
879 Highway 126 Ste B
Bristol, TN 37620-3308
Mailing address
879 Highway 126 Ste B
Bristol, TN 37620-3308
Phone (423) 930-7408
Other providers in Bristol, TN
- A Loving Hand Home Care Services
- Felecia Gail Abdelfattah
- Ragaa Abdulmoniem
- Seth Patrick Achey
- Annalee Adams
- Emily Adams
- Stephanie Ann Adams
All providers in Bristol, 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 Jul 23, 2016. 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.