Vivian Windsor, LPC/MHSP
Individual provider Active NPI Mental Health Counselor · Tiptonville, TN
NPI 1700144367 · NPPES record last updated May 1, 2012
Key facts
- NPI
- 1700144367
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- LPC0000002067 (TN)
- Practice address
- 2070 Pea Ridge Rd
Tiptonville, TN 38079-4422 - Phone
- (731) 442-9287
- NPI assigned
- May 1, 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 |
|---|---|---|---|
| LPC0000002067 | TN | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LPC0000002067 | TN | Yes |
Addresses
Primary practice location
2070 Pea Ridge Rd
Tiptonville, TN 38079-4422
Mailing address
2070 Pea Ridge Rd
Tiptonville, TN 38079-4422
Phone (731) 442-9287
Other providers in Tiptonville, TN
- Tiptonville Family Pharmacy
- Total Renal Care Inc
- Genie Sieber Ullrich
- J.C. Williams
- Kimberly Dawn Williams
All providers in Tiptonville, 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 May 1, 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.