| Blue Rider Expressive Therapy Llc | |
|
2528 Dwight Cochran Rd Duck River TN 38454-3434 | |
| (517) 215-6766 | |
| Not Available |
| Full Name | Blue Rider Expressive Therapy Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 2528 Dwight Cochran Rd, Duck River, Tennessee |
| Authorized Official Name and Position | Jennifer Jean Watts (OWNER) |
| Authorized Official Contact | 5172156766 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blue Rider Expressive Therapy Llc 2528 Dwight Cochran Rd Duck River TN 38454-3434 Ph: (517) 215-6766 | Blue Rider Expressive Therapy Llc 2528 Dwight Cochran Rd Duck River TN 38454-3434 Ph: (517) 215-6766 |
| NPI Number | 1477172666 |
|---|---|
| Provider Enumeration Date | 04/09/2020 |
| Last Update Date | 02/06/2024 |
| Certification Date | 02/06/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477172666 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |