Kirk, Richard B

Kirk, Richard B is an individual health care provider with primary practice located at 1570 Waverly Rd Holston Counseling Services, Kingsport TN 37664. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Social Worker is his primary health care specialty. Kirk, Richard B can be contacted via phone (423) 224-1300.

Contact Information

Primary practice address
1570 Waverly Rd Holston Counseling Services Kingsport TN 37664
Phone: (423) 224-1300
Fax: (423) 224-1375
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X LCSW617 Tennessee
Behavioral Health & Social Service Providers / Clinical 1041C0700X LCSW617 Tennessee

Profile Details

NPI number 1285647305
LBN Legal business name Kirk, Richard B
Credentials MSW LCSW
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 14th, 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 1285647305 NPPES
Other 089854 ANTHEM PREF TRIGON
Other 0096965 ANTHEM PREF TRIGON
Other 13052 ANTHEM PREF TRIGON
Other 334969 ANTHEM PREF TRIGON
MEDICAID 3920015 ANTHEM PREF TRIGON
Other 089854 ANTHEM PREF TRIGON
Other 0096965 ANTHEM PREF TRIGON
Other 0096965 ANTHEM PREF TRIGON
MEDICAID 3920247 ANTHEM PREF TRIGON

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