Organization
MIDDLE TN COUNSELING SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL SCOTT HARRIS LPC-MHSP (OWNER)
(615) 512-4000
Entity
Organization
Contact information
Practice address
104 PEACOCK ST., BELL BUCKLE, TN 37020-3702
(615) 512-4000
Mailing address
PO BOX 277, BELL BUCKLE, TN 37020-0277
(615) 512-4000
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q044488
—
TN
Enumeration date
02/10/2020
Last updated
02/27/2020
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