Organization
HOPE IN HEALING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRISTAN K PETTY LPC/MHSP (OWNER)
(615) 964-7113
Entity
Organization
Contact information
Practice address
607 W DUE WEST AVE STE 106, MADISON, TN 37115-4420
(615) 964-7113
(615) 928-8482
Mailing address
607 W DUE WEST AVE STE 106, MADISON, TN 37115-4420
(615) 964-7113
(888) 872-5109
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q005513
—
TN
Enumeration date
06/04/2014
Last updated
01/16/2020
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