Ivy, Jocelyn

Ivy, Jocelyn is an individual health care provider with primary practice located at 2455 Sutherland Ave , Knoxville TN 37919. She recently has 3 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Ivy, Jocelyn can be contacted via phone (865) 637-9711.

Contact Information

Primary practice address
2455 Sutherland Ave Knoxville TN 37919
Phone: (865) 637-9711
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X Tennessee
Behavioral Health & Social Service Providers / Professional 101YP2500X 3806 Tennessee

Profile Details

NPI number 1023353075
LBN Legal business name Ivy, Jocelyn
Credentials LPC-MHSP
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 3rd, 2012
Last updated Sep 9th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023353075 NPPES
Tennessee MEDICAID Q025876

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