Organization
PANDORAS AWAKENING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RENEE D BURWELL LCSW, MPA, CST (CEO)
(615) 375-6896
Entity
Organization
Contact information
Practice address
223 MADISON ST STE 102, MADISON, TN 37115-3660
(615) 375-6896
Mailing address
223 MADISON ST STE 102, MADISON, TN 37115-3660
(615) 375-6896
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
106H00000X
Marriage & Family Therapist
—
—
163WP0808X
Psychiatric/Mental Health Registered Nurse
—
—
Other
Enumeration date
05/18/2019
Last updated
05/18/2019
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