Organization
BETH NELSON LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY BETH NELSON LPC, MHSP (OWNER)
(615) 545-9423
Entity
Organization
Contact information
Practice address
2200 21ST AVE S, SUITE 251, NASHVILLE, TN 37212-4942
(615) 545-9423
Mailing address
PO BOX 90029, NASHVILLE, TN 37209-0029
(615) 545-9423
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC0000002341
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1831337161
TYPE 1 NPI
TN
Enumeration date
01/30/2009
Last updated
01/30/2009
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