| NPI | 1235947474 |
|---|---|
| Former Legal Business Name | TENNESSEE MENTAL WELLNESS LLC |
| Entity Type | Organization |
| Authorized Contact | EMILY RUNYAN Owner 615-636-1651 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2024-12-19 |
| Last Update Date | 2024-12-19 |