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Provider Information for 1518530153


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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 MORRELL

Sex: Female

NPI: 1518530153
Last Updated: 2024-01-12
Certification Date: 2024-01-12

Details

NameValue
NPI1518530153
Enumeration Date2021-07-21
NPI TypeNPI-1 Individual
Sole ProprietorNO
StatusActive
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
KINGSPORT, TN 37660-4651
United States

Phone: 423-343-1442 | Fax:
 

438 E VANN RD STE 202
GREENEVILLE, TN 37743-7202
United States

Phone: 423-636-0491 | Fax:
 

948 W BROADWAY ST STE 2
ROGERSVILLE, TN 37857-3279
United States

Phone: 423-921-7150 | Fax:
 

Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 101YP2500X - Counselor - ProfessionalTN5092