| Long Hollow Baptist Church | |
|
1181 Nashville Pike Gallatin TN 37066-3165 | |
| (615) 829-8018 | |
| (615) 824-4506 |
| Full Name | Long Hollow Baptist Church |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 1181 Nashville Pike, Gallatin, Tennessee |
| Authorized Official Name and Position | Ralph Douglas Cook (CLINICAL DIRECTOR) |
| Authorized Official Contact | 6158298018 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Long Hollow Baptist Church 1181 Nashville Pike Gallatin TN 37066-3165 Ph: (615) 829-8018 | Long Hollow Baptist Church 1181 Nashville Pike Gallatin TN 37066-3165 Ph: (615) 829-8018 |
| NPI Number | 1326304387 |
|---|---|
| Provider Enumeration Date | 04/04/2012 |
| Last Update Date | 04/04/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326304387 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | LCSW0000004954 (Tennessee) | Secondary |
| 106H00000X | Marriage & Family Therapist | LMT0000000816 (Tennessee) | Primary |
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