Organization
EDEN EMAN COUNSELING & CONSULTING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRYSTAL DOMINIQUE FORTNEY LPC-MHSP (FOUNDER/ THERAPIST)
(901) 827-7956
Entity
Organization
Contact information
Practice address
4235 HILLSBORO PIKE STE 333, NASHVILLE, TN 37215-3344
(901) 827-7956
Mailing address
7600 CABOT DR APT 115, NASHVILLE, TN 37209-4381
(901) 827-7956
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/02/2020
Last updated
03/02/2020
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