MISTIE ANN TENNANT LCPC NPI 1265066880

NPI Information

NPI: 1265066880
Provider Name: MISTIE ANN TENNANT, LCPC
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
2900 FRANK SCOTT PKWY W STE 990
BELLEVILLE, IL
ZIP 62223
Phone: (618) 236-6501
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Mistie Ann Tennant, LCPC is a mental health counselor in Belleville, IL. Mistie Ann Tennant, LCPC NPI is 1265066880. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2900 FRANK SCOTT PKWY W STE 990
BELLEVILLE, IL
ZIP 62223-000
Phone: (618) 236-6501
Fax: (618) 236-6551

The enumeration date for this NPI number is 2/24/2020 and was last updated on 2/24/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	180.012771	ILLINOIS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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