| NPI | 1578514923 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY MICHELLE FREEMAN Credentialing Officer 615-385-4090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 103T00000X Psychologist |
| 103TC0700X Psychologist, Clinical | |
| 104100000X Social Worker | |
| 1041C0700X Social Worker, Clinical | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2018-03-17 |