Provider Demographics
NPI:1134443526
Name:APPLE PSYCHOLOGICAL CONSULTANTS, LLC
Entity type:Organization
Organization Name:APPLE PSYCHOLOGICAL CONSULTANTS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR, LICENSED PSYCHO
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTY
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:SORRELL
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:865-983-1899
Mailing Address - Street 1:339 HIGH ST.
Mailing Address - Street 2:
Mailing Address - City:MARYVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37804-5831
Mailing Address - Country:US
Mailing Address - Phone:865-983-1899
Mailing Address - Fax:865-233-0465
Practice Address - Street 1:339 HIGH ST.
Practice Address - Street 2:
Practice Address - City:MARYVILLE
Practice Address - State:TN
Practice Address - Zip Code:37804-5831
Practice Address - Country:US
Practice Address - Phone:865-983-1899
Practice Address - Fax:865-233-0465
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-15
Last Update Date:2011-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN103T00000X, 103TS0200X
103T00000X, 103TM1800X
TN2584103TH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TH0100XBehavioral Health & Social Service ProvidersPsychologistHealth ServiceGroup - Multi-Specialty
No103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty
No103TM1800XBehavioral Health & Social Service ProvidersPsychologistIntellectual & Developmental DisabilitiesGroup - Multi-Specialty
No103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchoolGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN1519941Medicaid