Mattie Crockett, LPC, MHSP

NPI 1952975005 · on the registry since 2021

Practice

Address: 1536 Bridgewater Ln Ste 104
Kingsport, TN 37660
Phone: (423) 534-7824
Organisation at this address: Serene Roots Wellness Llc
Kingsport Psychiatric Services
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 6

Registry record

Primary taxonomy: 101YP2500X
101YP2500X
Licence states on file: TN
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2024-08-14

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Tennessee