Provider Demographics
NPI:1720894397
Name:DIMENSIONS COUNSELING CENTER, PLLC
Entity type:Organization
Organization Name:DIMENSIONS COUNSELING CENTER, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:HUNTER
Authorized Official - Middle Name:
Authorized Official - Last Name:COOK
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:423-722-2499
Mailing Address - Street 1:PO BOX 153
Mailing Address - Street 2:
Mailing Address - City:PINEY FLATS
Mailing Address - State:TN
Mailing Address - Zip Code:37686-0153
Mailing Address - Country:US
Mailing Address - Phone:423-722-2499
Mailing Address - Fax:423-722-2499
Practice Address - Street 1:703 MARBORO DR
Practice Address - Street 2:
Practice Address - City:JOHNSON CITY
Practice Address - State:TN
Practice Address - Zip Code:37601-2432
Practice Address - Country:US
Practice Address - Phone:423-722-2499
Practice Address - Fax:423-722-2499
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-09
Last Update Date:2025-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health