Provider Demographics
NPI:1043654981
Name:A NEW YOU COUNSELING CENTER, PC
Entity type:Organization
Organization Name:A NEW YOU COUNSELING CENTER, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:
Authorized Official - First Name:TONYA
Authorized Official - Middle Name:
Authorized Official - Last Name:MCKOY
Authorized Official - Suffix:
Authorized Official - Credentials:MED, LPC-MHSP, NCC
Authorized Official - Phone:615-200-6360
Mailing Address - Street 1:5331 MOUNT VIEW RD
Mailing Address - Street 2:PMB 227
Mailing Address - City:ANTIOCH
Mailing Address - State:TN
Mailing Address - Zip Code:37013-2308
Mailing Address - Country:US
Mailing Address - Phone:615-200-6360
Mailing Address - Fax:
Practice Address - Street 1:1321 MURFREESBORO PIKE
Practice Address - Street 2:SUITE 655
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37217-2690
Practice Address - Country:US
Practice Address - Phone:615-200-6360
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-22
Last Update Date:2014-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN2771101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty