Bledsoe, Bethany Paige

Bledsoe, Bethany Paige is an individual health care provider with primary practice located at 233 Oil Well Rd Suite C, Jackson TN 38305-8014. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Bledsoe, Bethany Paige can be contacted via phone (731) 660-8467.

Contact Information

Primary practice address
233 Oil Well Rd Suite C Jackson TN 38305-8014
Phone: (731) 660-8467
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 4468 Tennessee

Profile Details

NPI number 1831298587
LBN Legal business name Bledsoe, Bethany Paige
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831298587 NPPES
Tennessee Other 4138245 BCBS - TN
Tennessee MEDICAID 3987481 BCBS - TN

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