Individual
TIYA NACHELLE DOUGLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
25 JEFFERSON ST STE T1, CLARKSVILLE, TN 37040-4901
(615) 348-5906
Mailing address
25 JEFFERSON ST STE T1, CLARKSVILLE, TN 37040-4901
(615) 348-5906
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/24/2025
Last updated
09/24/2025
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