Organization
NASHVILLE CENTER FOR PSYCHODRAMA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MENZO L FAASSEN LPC-MHSP (THERAPIST/OWNER)
(931) 614-0439
Entity
Organization
Contact information
Practice address
116 WILSON PIKE CIR, SUITE 106, BRENTWOOD, TN 37027-2706
(931) 614-0439
(615) 523-2398
Mailing address
920 KINGSBURY DR, A, CLARKSVILLE, TN 37040-2637
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
10/05/2015
Last updated
05/31/2016
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