# BRENTWOOD COUNSELING ASSOCIATES LLC

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

## Provider details

- **NPI number:** 1760956270
- **Authorized official:** JANE E JENKINS (OFFICE MANAGER)
- **Authorized official phone:** (615) 377-1153

## Contact information

- **Practice address:** 5200 MARYLAND WAY STE 102, BRENTWOOD, TN 37027-5072
- **Practice address phone:** (615) 377-1153
- **Mailing address:** 5200 MARYLAND WAY STE 102, BRENTWOOD, TN 37027-5072
- **Mailing address phone:** (615) 377-1153

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |
| 103TC0700X | Clinical Psychologist | — | NULL | — |
| 103TC0700X | Clinical Psychologist | — | — | — |
| 103TC1900X | Counseling Psychologist | — | NULL | — |
| 103TC1900X | Counseling Psychologist | — | — | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 01/17/2019
- **Last updated:** 01/17/2019