| NPI | 1306477963 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANIKA K MULLEN Lpc Mhsp, Director 615-640-0333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 103TC1900X Psychologist Counseling |
| Enumeration Date | 2020-01-31 |
| Last Update Date | 2020-01-31 |