| NPI | 1396603387 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER CAMPBELL Provider/Co Owner 615-512-3732 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2026-01-10 |
| Last Update Date | 2026-01-10 |