Organization
WOODBURY MENTAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANY MICHELLE TIMM (SELF)
(615) 410-5762
Entity
Organization
Contact information
Practice address
115 W MAIN ST, WOODBURY, TN 37190-1143
(615) 922-6782
Mailing address
PO BOX 98, WOODBURY, TN 37190-0098
(615) 410-5762
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
12/20/2023
Last updated
02/07/2024
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