Provider Demographics
NPI:1447832407
Name:KEY SPRINGS COUNSELING SERVICES, PLLC
Entity type:Organization
Organization Name:KEY SPRINGS COUNSELING SERVICES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BRITTANY
Authorized Official - Middle Name:ATTERSON
Authorized Official - Last Name:TIPTON
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:865-617-0131
Mailing Address - Street 1:PO BOX 6932
Mailing Address - Street 2:
Mailing Address - City:OAK RIDGE
Mailing Address - State:TN
Mailing Address - Zip Code:37831-3431
Mailing Address - Country:US
Mailing Address - Phone:865-617-0131
Mailing Address - Fax:
Practice Address - Street 1:715 MARLIN LN
Practice Address - Street 2:
Practice Address - City:CLINTON
Practice Address - State:TN
Practice Address - Zip Code:37716-5982
Practice Address - Country:US
Practice Address - Phone:865-617-0131
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-28
Last Update Date:2021-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
5754630OtherCIGNA
TN6204336OtherBLUE CROSS BLUE SHIELD OF TENNESSEE