Provider Demographics
NPI:1609654706
Name:WORRELL, ALYNDA
Entity Type:Individual
Prefix:
First Name:ALYNDA
Middle Name:
Last Name:WORRELL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:ALYNDA
Other - Middle Name:
Other - Last Name:WORRELL-WELCH
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 293
Mailing Address - Street 2:
Mailing Address - City:MILLIGAN COLLEGE
Mailing Address - State:TN
Mailing Address - Zip Code:37682-0293
Mailing Address - Country:US
Mailing Address - Phone:276-733-4852
Mailing Address - Fax:
Practice Address - Street 1:508 E UNAKA AVE
Practice Address - Street 2:
Practice Address - City:JOHNSON CITY
Practice Address - State:TN
Practice Address - Zip Code:37601-4033
Practice Address - Country:US
Practice Address - Phone:423-810-0961
Practice Address - Fax:423-810-0961
Is Sole Proprietor?:No
Enumeration Date:2023-09-19
Last Update Date:2023-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional