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MANDY COLBURN LADAC II
NPI 1700568243
Counselor - Addiction (Substance Use Disorder) in Kingston, TN

Active since August 03, 2023
302 KELSAY DR, KINGSTON, TN 37763(865) 206-6971 Get Directions Write a Review

NPPES record last updated: August 3, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Mandy Colburn Ladac Ii NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MANDY COLBURN LADAC II (NPI 1700568243) is an individual addiction (substance use disorder) provider in Kingston, Tennessee and active in the NPI registry since August 2023.

NPPES Registry Identity

NPI1700568243
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameMANDY COLBURNCredential: LADAC II
Location Address302 KELSAY DRKingston, TN 37763-3004
Mailing Address302 Kelsay DrKingston, TN 37763-3004 · (865) 206-6971
Phone(865) 206-6971
Sole ProprietorYes
Enumeration DateAugust 3, 2023
NPPES CertifiedAugust 3, 2023
✔ NPI 1700568243 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
302 KELSAY DR, Kingston, TN 37763
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mandy Colburn's NPI number?

The NPI number for Mandy Colburn is 1700568243. It was assigned to this individual provider in the NPPES registry on August 3, 2023.

Where is Mandy Colburn located?

Mandy Colburn practices at 302 Kelsay Dr, Kingston, TN 37763. The listed phone number is (865) 206-6971.

What is Mandy Colburn's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Mandy Colburn was last updated on August 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.