Organization
RADICAL CHANGE THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DYLESIA HAMPTON BARNER LCSW (CEO)
(615) 502-2539
Entity
Organization
Contact information
Practice address
2817 W END AVE STE 126-463, NASHVILLE, TN 37203-1453
(615) 502-2539
Mailing address
2817 W END AVE STE 126-463, NASHVILLE, TN 37203-1453
(615) 502-2539
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
02/10/2022
Last updated
02/10/2022
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