| Prentiss Counseling And Consulting Pllc | |
|
5320 Hickory Hollow Pkwy Antioch TN 37013-3128 | |
| (615) 669-5605 | |
| Not Available |
| Full Name | Prentiss Counseling And Consulting Pllc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 5320 Hickory Hollow Pkwy, Antioch, Tennessee |
| Authorized Official Name and Position | Jared Prentiss (OWNER) |
| Authorized Official Contact | 6156695605 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prentiss Counseling And Consulting Pllc 1091 Secretariat Dr Mount Juliet TN 37122-3568 Ph: (615) 669-5605 | Prentiss Counseling And Consulting Pllc 5320 Hickory Hollow Pkwy Antioch TN 37013-3128 Ph: (615) 669-5605 |
| NPI Number | 1336645670 |
|---|---|
| Provider Enumeration Date | 04/04/2018 |
| Last Update Date | 04/04/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336645670 | NPI | - | NPPES |
| Q014226 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 2904 (Tennessee) | Primary |
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