Provider Information for 1518530153
The following NPI(s) contain information matching your search criteria. Please select the NPI to view all the data associated with the NPI.
Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know
KATELYN NICOLE COUPER LPC-MHSP
Other Names:Former Name:KATELYN NICOLE MORRELLSex: Female
NPI: 1518530153
Last Updated: 2024-01-12
Certification Date: 2024-01-12
Certification Date: 2024-01-12
Details
Name | Value | ||||||||
---|---|---|---|---|---|---|---|---|---|
NPI | 1518530153 | ||||||||
Enumeration Date | 2021-07-21 | ||||||||
NPI Type | NPI-1 Individual | ||||||||
Sole Proprietor | NO | ||||||||
Status | Active | ||||||||
Mailing Address | 1021 W OAKLAND AVE STE 310 JOHNSON CITY, TN 37604-2192 United States Phone: 423-302-6565 | Fax: | ||||||||
Primary Practice Address | 525 N STATE OF FRANKLIN RD STE 9 JOHNSON CITY, TN 37604-8213 United States Phone: 423-302-3480 | Fax:423-722-3009 | ||||||||
Secondary Practice Address(es) | 2204 PAVILION DR STE 107 438 E VANN RD STE 202 948 W BROADWAY ST STE 2 | ||||||||
Health Information Exchange |
| ||||||||
Other Identifiers |
| ||||||||
Taxonomy |
|