Teddy Spencer Beaty – Counselor in Louisville, TN

Key facts

NPI: 1831806629
Entity type: Individual (NPI type 1)
Primary specialty: Counselor 101Y00000X
License: 000249147 (TN)
Practice address: 3845 Holston College Rd
Louisville, TN 37777-3105
Phone: (865) 380-5089
NPI assigned: Nov 1, 2022
Sex: Male
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.

Helen Ross McNabb Center Mental Health Clinic/Center (Including Community Mental Health Center) · Knoxville, TN · NPI 1659330686

NPD

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
000249147	TN	MD	Counselor

Practice roles

Organization	Specialty	Status	New patients
Helen Ross McNabb Center		Current since Nov 6, 2022	Accepting new patients

Locations

200 Tech Center Dr
Knoxville, TN 37912
Phone (865) 329-9124

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Counselor	101Y00000X	000249147	TN	Yes

Addresses

Primary practice location

3845 Holston College Rd
Louisville, TN 37777-3105

Mailing address

200 Tech Center Dr
Knoxville, TN 37912-2747
Phone (865) 637-9711

Other providers in Louisville, TN

All providers in Louisville, TN · 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 Nov 1, 2022. 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.

Verify at the official NPI Registry.