| NPI | 1356634026 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COREY M. TEAGUE CEO/Psychologist 615-809-5995 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: TN 2170) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: TN 2170) |
| 1041C0700X Social Worker Clinical (Licence: TN 5132) | |
| Enumeration Date | 2011-05-27 |
| Last Update Date | 2011-06-25 |