| NPI | 1790630390 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAQRESHA R TALLEY Clinical Therapist 615-573-5955 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2026-02-28 |
| Last Update Date | 2026-04-28 |