Organization
ON A JOURNEY COUNSELING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARKELA BALLARD LPC-MHSP (OWNER/THERAPIST)
(615) 479-4180
Entity
Organization
Contact information
Practice address
709 RIVERGATE PKWY, SUITE A6, GOODLETTSVILLE, TN 37072-2315
(615) 549-5256
Mailing address
709 RIVERGATE PKWY, SUITE A6, GOODLETTSVILLE, TN 37072-2315
(615) 549-5256
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
3357
TN
Other
Enumeration date
04/19/2016
Last updated
04/19/2016
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