| NPI | 1871650382 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIFFANY L BROWN Credentialing Officer 615-262-7822 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TN 2120) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TN 731) |
| 1041C0700X Social Worker, Clinical (Licence: TN 4212) | |
| 1041C0700X Social Worker, Clinical (Licence: TN 3946) | |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2014-03-24 |