| NPI | 1326269119 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN JOHNSON LINGG Co Owner 931-542-2168 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) (Licence: TN I000000020795) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor Mental Health | |
| 101YP2500X Counselor Professional | |
| 103K00000X Behavior Analyst | |
| 1041C0700X Social Worker Clinical | |
| 106H00000X Marriage & Family Therapist | |
| 106S00000X Behavior Technician | |
| 2251P0200X Physical Therapist Pediatrics | |
| 225200000X Physical Therapy Assistant | |
| 225XP0200X Occupational Therapist Pediatrics | |
| 235Z00000X Speech-Language Pathologist (Licence: TN SP0000001494) | |
| 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) (Licence: TN 20795) | |
| 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) | |
| 261QP2000X Clinic/Center Physical Therapy | |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2022-05-24 |