| Counseling Services Of Middle Tn, Llc | |
|
420 North Main St Goodlettsville TN 37072 | |
| (615) 418-0538 | |
| (615) 859-4990 |
| Full Name | Counseling Services Of Middle Tn, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 420 North Main St, Goodlettsville, Tennessee |
| Authorized Official Name and Position | Kim Marie Padula (MEMBER) |
| Authorized Official Contact | 6154180538 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Counseling Services Of Middle Tn, Llc Po Box 292434 Nashville TN 37229-2434 Ph: (615) 418-0538 | Counseling Services Of Middle Tn, Llc 420 North Main St Goodlettsville TN 37072 Ph: (615) 418-0538 |
| NPI Number | 1760684799 |
|---|---|
| Provider Enumeration Date | 06/01/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760684799 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 3352 (Tennessee) | Primary |
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