Organization
OVERCOME
Active
Parent organization
UNITED RESPONSIBLE FATHERS OF AMERICA
Organization subpart
Yes
Provider details
NPI number
Legal business name
UNITED RESPONSIBLE FATHERS OF AMERICA
Authorized official
DR. COREY MARTEZ TEAGUE PHD (CEO/FOUNDER/SERVICE PROVIDER)
(615) 295-2740
Entity
Organization
Contact information
Practice address
805 S CHURCH ST STE 17, MURFREESBORO, TN 37130-4917
(615) 295-2740
(615) 777-3535
Mailing address
805 S CHURCH ST STE 17, MURFREESBORO, TN 37130-4917
(615) 295-2740
(615) 777-3535
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
101YP1600X
Pastoral Counselor
—
—
101YP2500X
Professional Counselor
—
—
103T00000X
Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
—
—
374K00000X
Religious Nonmedical Practitioner
—
—
Other
Enumeration date
06/30/2022
Last updated
06/30/2022
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