| NPI | 1063144723 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COREY MARTEZ TEAGUE CEO/Founder/Service Provider 615-295-2740 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| 101YP1600X Counselor Pastoral | |
| 101YP2500X Counselor Professional | |
| 103T00000X Psychologist | |
| 1041C0700X Social Worker Clinical | |
| 106H00000X Marriage & Family Therapist | |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health | |
| 364SP0808X Clinical Nurse Specialist Psychiatric/Mental Health | |
| 374K00000X Religious Nonmedical Practitioner | |
| Enumeration Date | 2022-06-30 |
| Last Update Date | 2022-06-30 |