| NPI | 1588138200 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EBONI NICOLE WEBB Owner 615-589-1018 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical |
| Additional Taxonomies | 101YP2500X Counselor Professional |
| 103TB0200X Psychologist Cognitive & Behavioral | |
| 103TP2701X Psychologist Group Psychotherapy | |
| 104100000X Social Worker | |
| Enumeration Date | 2019-01-15 |
| Last Update Date | 2019-01-15 |