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Organization
TENNESSEE MENTAL WELLNESS PREMIUM LLC
Active
Organization
TENNESSEE MENTAL WELLNESS PREMIUM LLC
Active
Other names
Tennessee Mental Wellness LLC
Organization subpart
No
Provider details
NPI number
Authorized official
EMILY RUNYAN LMFT (OWNER)
(615) 636-1651
Entity
Organization
Contact information
Practice address
1185 NASHVILLE PIKE, GALLATIN, TN 37066-3165
(615) 510-4551
Mailing address
1185 NASHVILLE PIKE, GALLATIN, TN 37066-3165
(615) 510-4551
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
NULL
106H00000X
Marriage & Family Therapist
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
12/19/2024
Last updated
12/19/2024
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