# PHOENIX EQUESTRIAN CENTER LLC

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

## Provider details

- **NPI number:** 1558612226
- **Authorized official:** TABITHA N FINNEY (OWNER)
- **Authorized official phone:** (615) 516-4016

## Contact information

- **Practice address:** 146 MONTGOMERY RD, GOODLETTSVILLE, TN 37072-8411
- **Practice address phone:** (615) 516-4016
- **Practice address fax:** (888) 332-0301
- **Mailing address:** 141 MENEES LN, MADISON, TN 37115-5801
- **Mailing address phone:** (615) 516-4016
- **Mailing address fax:** (888) 332-0301

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |
| 106H00000X | Marriage & Family Therapist | — | NULL | — |
| 106H00000X | Marriage & Family Therapist | — | — | — |

## Other

- **Enumeration date:** 09/21/2012
- **Last updated:** 09/21/2012