# VANDERBILT UNIVERSITY MEDICAL CENTER

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

## Provider details

- **NPI number:** 1801161708
- **Authorized official:** MRS. BETH MARTY MS, LPC (CLINIC MANAGER)
- **Authorized official phone:** (615) 322-4257

## Contact information

- **Practice address:** 1500 21ST AVE S, SUITE 2200, NASHVILLE, TN 37212-3160
- **Practice address phone:** (615) 343-9669
- **Practice address fax:** (615) 322-1578
- **Mailing address:** 1500 21ST AVE S, SUITE 2200, NASHVILLE, TN 37212-3160
- **Mailing address phone:** (615) 343-9669
- **Mailing address fax:** (615) 322-1578

## Taxonomy

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

## Other

- **Enumeration date:** 03/12/2012
- **Last updated:** 03/12/2012