Organization
WATERSHED WELLNESS COLLECTIVE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSE PRUSINSKI LMFT (OWNER/PROVIDER)
(310) 266-5044
Entity
Organization
Contact information
Practice address
412 GALLATIN PIKE S, MADISON, TN 37115-4009
(310) 266-5044
Mailing address
1127 TUCKAHOE DR, NASHVILLE, TN 37207-1640
(310) 266-5044
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
04/30/2024
Last updated
04/30/2024
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