Provider Demographics
NPI:1770107633
Name:CORY, AUNGE (LPC-MHSP, LCPC)
Entity type:Individual
Prefix:
First Name:AUNGE
Middle Name:
Last Name:CORY
Suffix:
Gender:F
Credentials:LPC-MHSP, LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1038
Mailing Address - Street 2:
Mailing Address - City:ANTIOCH
Mailing Address - State:TN
Mailing Address - Zip Code:37011-1038
Mailing Address - Country:US
Mailing Address - Phone:615-249-8049
Mailing Address - Fax:
Practice Address - Street 1:PO BOX 1038
Practice Address - Street 2:
Practice Address - City:ANTIOCH
Practice Address - State:TN
Practice Address - Zip Code:37011-1038
Practice Address - Country:US
Practice Address - Phone:615-249-8049
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-05
Last Update Date:2024-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN5057101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional