Margaret Ashley Gary, LPC

Individual provider Active NPI Professional Counselor · Selmer, TN

NPI 1700424355 · NPPES record last updated Dec 13, 2019

Key facts

NPI
1700424355
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
4821 (TN)
Practice address
641 E Poplar Ave
Selmer, TN 38375-1828
Phone
(731) 645-5753
Fax
(731) 645-9885
NPI assigned
Dec 13, 2019
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
4821TNMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Mental Health Centers & Clinics of Tennessee Current
since Dec 15, 2019
Accepting new patients

Locations

10710 Old Highway 64
Bolivar, TN 38008
Phone (731) 658-6113

1410 Pickwick St
Savannah, TN 38372
Phone (731) 925-5054

641 E Poplar Ave
Selmer, TN 38375
Phone (731) 645-5753

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 4821 TN Yes

Addresses

Primary practice location

641 E Poplar Ave
Selmer, TN 38375-1828

Mailing address

10710 Old Highway 64
Bolivar, TN 38008-3587
Phone (731) 203-1011

Electronic endpoints

TypeEndpointUseAffiliation
Direct Messaging Address paula.walton@quincomhc.org

Other providers in Selmer, TN

All providers in Selmer, TN · Professional Counselor in Tennessee

Sources for this page

Verify at the official NPI Registry.