Organization
HENDRICK COUNSELING SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KIMBERLEY HENDRICK LCSW (OWNER)
(615) 449-9611
Entity
Organization
Contact information
Practice address
440 PARK AVE, LEBANON, TN 37087-3664
(615) 449-9611
(615) 453-7051
Mailing address
440 PARK AVE, LEBANON, TN 37087
(615) 449-9611
(615) 453-7051
Taxonomy
Speciality
Code
Description
License number
State
103TP0016X
Prescribing (Medical) Psychologist
Primary
APN0000012314
TN
Other
Enumeration date
03/21/2017
Last updated
03/21/2017
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