Russell, Miranda
Russell, Miranda is an sole proprietor health care provider with primary practice located at 105 Rowdy Row , Bean Station TN 37708. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Russell, Miranda can be contacted via phone (865) 767-3074.Contact Information
Primary practice address
105 Rowdy Row
Bean Station TN 37708
Phone: (865) 767-3074
Fax: (865) 767-3076
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 2347 | Tennessee |
Profile Details
| NPI number | 1346572591 |
|---|---|
| LBN Legal business name | Russell, Miranda |
| Credentials | LMHSP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 12th, 2010 |
| Last updated | Feb 12th, 2010 - about 16 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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