Organization
MAIN STREET INTERVENTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATTI FLORES PUGH (OWNER)
(615) 740-7100
Entity
Organization
Contact information
Practice address
100 N MAIN ST, DICKSON, TN 37055-1889
(615) 740-7100
(615) 740-8329
Mailing address
100 N MAIN ST, DICKSON, TN 37055-1889
(615) 740-7100
(615) 740-6959
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
547
TN
Other
Enumeration date
02/27/2017
Last updated
02/27/2017
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