| Hope In Healing | |
|
607 W Due West Ave Ste 106 Madison TN 37115-4420 | |
| (615) 964-7113 | |
| (615) 928-8482 |
| Full Name | Hope In Healing |
|---|---|
| Speciality | Counselor - Professional |
| Location | 607 W Due West Ave Ste 106, Madison, Tennessee |
| Authorized Official Name and Position | Tristan K Petty (OWNER) |
| Authorized Official Contact | 6159647113 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hope In Healing 607 W Due West Ave Ste 106 Madison TN 37115-4420 Ph: (615) 964-7113 | Hope In Healing 607 W Due West Ave Ste 106 Madison TN 37115-4420 Ph: (615) 964-7113 |
| NPI Number | 1285047530 |
|---|---|
| Provider Enumeration Date | 06/04/2014 |
| Last Update Date | 01/16/2020 |
| Certification Date | 01/16/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285047530 | NPI | - | NPPES |
| Q005513 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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