Individual
SHIRLEY MARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADAC, LMFT, MAC
Contact information
Practice address
431 NISSAN DR STE 202, SMYRNA, TN 37167-4365
(615) 462-7392
(615) 267-0020
Mailing address
2303 BARCLAY DR, NASHVILLE, TN 37206-1501
(615) 262-3497
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LDC0000000573
TN
106H00000X
Marriage & Family Therapist
Primary
LMT0000001090
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q033210
—
TN
Enumeration date
03/01/2017
Last updated
08/17/2021
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