Matthew M Midkiff
Professional Counselor
109 W Watauga Ave
Johnson City
, Tennessee 37604-5621
Matthew M Midkiff
Professional Counselor
109 W Watauga Ave
Johnson City
, Tennessee 37604-5621
(423) 467-3644
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About
Features
Specialties
- Professional Counselor
Languages spoken
- English
Location
First Address
- Matthew M Midkiff
- 1167 Spratlin Park Dr
- Gray, TN
- Zip : 37615-6205
- Fax : (423) 467-3644
- Phone : (423) 467-3600
Second Address
- Matthew M Midkiff
- 109 W Watauga Ave
- Johnson City, TN
- Zip : 37604-5621
- Fax : (423) 467-3644
- Phone : (423) 232-2600
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 101YP2500X | Professional Counselor | 5599 | TN |
National Provider Identifier
| NPI | 1003570615 |
|---|---|
| Provider Name | Matthew M Midkiff |
| First Address | Gray, TN 37615-6205 |
| Second Address | Johnson City, TN 37604-5621 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 29/10/2021 |
| Last Update Date | 29/10/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.