Professional Counselling Center

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

PROFESSIONAL COUNSELLING CENTER

Practice address

334 N Spring St
Sparta, TN 38583-1334

Phone

(931) 254-0963

NPI assigned

May 15, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Sammy Glenn, LCSW

Title

Owner

Phone

(931) 254-0963

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Professional Counselling Center Other name

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1557878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557878400000",
    "number": "1710543715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "334 N SPRING ST",
            "city": "SPARTA",
            "state": "TN",
            "postal_code": "385831334",
            "telephone_number": "931-254-0963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "334 N SPRING ST",
            "city": "SPARTA",
            "state": "TN",
            "postal_code": "385831334",
            "telephone_number": "931-254-0963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL COUNSELLING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-15",
        "last_updated": "2019-05-15",
        "status": "A",
        "authorized_official_last_name": "GLENN",
        "authorized_official_first_name": "SAMMY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "931-254-0963",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1699064147",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Professional Counselling Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Physiotherapy Associates Inc (Physiotherapy Associates)
• Shirley Lee Potter
• Crystal Marie Prall, RN
• Larry J Pratt, DDS
• Reva Prescott
• Providence Family Medicine
• Kevin Patrick Purgiel, D.O.
• Kathy Qualls
• Keith E Ray, DPH
• Leslie Ann Reagan, PHAMD

• Mental Health Clinic/Center (Including Community Mental Health Center) in Sparta, TN
• Providers in Sparta, TN by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.