IndividualActive
Keri Mantooth, MSSW
NPI 1093528937 · Counseling Psychologist · Jefferson City, TN
Provider details
- NPI number
- 1093528937
- Entity type
- Individual
- Primary specialty
- Counseling PsychologistBehavioral Health & Social Service Providers
- Credential
- MSSW
- Sex
- Female
- Sole proprietor
- No
Practice location
222 E Broadway Blvd Ste 205
Jefferson City, TN 37760-2837
Phone: (865) 999-0601
Fax: (615) 292-3662
Mailing address
317 18th Ave N Ste 200
Nashville, TN 37203-2253
Registry dates
- Enumerated
- 2025-01-27
- Last updated
- 2025-01-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.