# BLUE RIDER EXPRESSIVE THERAPY PLLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** BLUE RIDER EXPRESSIVE THERAPY LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1619823606
- **Legal business name:** BLUE RIDER EXPRESSIVE THERAPY LLC
- **Authorized official:** MS. JENNIFER WATTS WATTS (OWNER)
- **Authorized official phone:** (517) 215-6766

## Contact information

- **Practice address:** 2528 DWIGHT COCHRAN RD, DUCK RIVER, TN 38454-3434
- **Practice address phone:** (517) 215-6766
- **Practice address fax:** (517) 215-6766
- **Mailing address:** 2528 DWIGHT COCHRAN RD, DUCK RIVER, TN 38454-3434
- **Mailing address phone:** (517) 215-6766
- **Mailing address fax:** (517) 215-6766

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |

## Other

- **Enumeration date:** 03/10/2026
- **Last updated:** 03/10/2026