| NPI | 1396281259 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BILL G. JOHNSON Owner 615-584-0973 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: TN 1578) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: TN 1578) |
| Enumeration Date | 2017-01-16 |
| Last Update Date | 2017-01-16 |