# MAIN STREET INTERVENTIONS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023558897
- **Authorized official:** PATTI FLORES PUGH (OWNER)
- **Authorized official phone:** (615) 740-7100

## Contact information

- **Practice address:** 100 N MAIN ST, DICKSON, TN 37055-1889
- **Practice address phone:** (615) 740-7100
- **Practice address fax:** (615) 740-8329
- **Mailing address:** 100 N MAIN ST, DICKSON, TN 37055-1889
- **Mailing address phone:** (615) 740-7100
- **Mailing address fax:** (615) 740-6959

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | 547 | TN | Yes |

## Other

- **Enumeration date:** 02/27/2017
- **Last updated:** 02/27/2017