Provider Demographics
NPI:1023397270
Name:COUNTS, KING ALLEN (LMFT)
Entity Type:Individual
Prefix:DR
First Name:KING
Middle Name:ALLEN
Last Name:COUNTS
Suffix:
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:915 TINY TOWN RD
Mailing Address - Street 2:PO BOX 20626
Mailing Address - City:CLARKSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37042-7663
Mailing Address - Country:US
Mailing Address - Phone:931-553-6981
Mailing Address - Fax:931-553-6982
Practice Address - Street 1:915 TINY TOWN RD
Practice Address - Street 2:
Practice Address - City:CLARKSVILLE
Practice Address - State:TN
Practice Address - Zip Code:37042-7663
Practice Address - Country:US
Practice Address - Phone:931-553-6981
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-08-05
Last Update Date:2011-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YP1600X
TN0000000647106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral