Provider Demographics
NPI:1194204503
Name:TN ANGER MANAGEMENT / COUNSEL CARE, LLC
Entity Type:Organization
Organization Name:TN ANGER MANAGEMENT / COUNSEL CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:MICHELLE
Authorized Official - Last Name:ALEXANDER
Authorized Official - Suffix:
Authorized Official - Credentials:CAMS,CCIS,CDCS,PIC
Authorized Official - Phone:731-798-5055
Mailing Address - Street 1:1490B N BROAD ST
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:TN
Mailing Address - Zip Code:38351-4700
Mailing Address - Country:US
Mailing Address - Phone:731-798-5055
Mailing Address - Fax:731-968-0400
Practice Address - Street 1:1490B N BROAD ST
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:TN
Practice Address - Zip Code:38351-4700
Practice Address - Country:US
Practice Address - Phone:731-798-5055
Practice Address - Fax:731-968-0400
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-08
Last Update Date:2018-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health