Provider Demographics
NPI:1124160007
Name:WENDT, ALANNA ANNE MARIE (MSW)
Entity type:Individual
Prefix:MS
First Name:ALANNA
Middle Name:ANNE MARIE
Last Name:WENDT
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2601 N. JOHN B. DENNIS HWY.
Mailing Address - Street 2:APT. 2110
Mailing Address - City:KINGSPORT
Mailing Address - State:TN
Mailing Address - Zip Code:37660-4785
Mailing Address - Country:US
Mailing Address - Phone:423-283-6555
Mailing Address - Fax:
Practice Address - Street 1:3915 BRISTOL HWY.
Practice Address - Street 2:SUITE 202
Practice Address - City:JOHNSON CITY
Practice Address - State:TN
Practice Address - Zip Code:37601-1400
Practice Address - Country:US
Practice Address - Phone:423-283-6555
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health