Organization
THERAPEUTIC INTERVENTIONS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CECILIA L CAMPBELL (ADMINISTRATIVE ASSISTANT)
(931) 520-4418
Entity
Organization
Contact information
Practice address
831 W JACKSON ST, COOKEVILLE, TN 38501-5940
(931) 520-4418
(931) 526-8432
Mailing address
831 W JACKSON ST, COOKEVILLE, TN 38501-5940
(931) 520-4418
(931) 526-8432
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC790
TN
103TB0200X
Cognitive & Behavioral Psychologist
P377
TN
103TC2200X
Clinical Child & Adolescent Psychologist
P377
TN
103TF0000X
Family Psychologist
P377
TN
103TM1800X
Intellectual & Developmental Disabilities Psychologist
P377
TN
103TP2701X
Group Psychotherapy Psychologist
P377
TN
103TS0200X
School Psychologist
P377
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5441689
—
TN
Enumeration date
05/03/2007
Last updated
02/18/2011
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