Organization
MIDDLE TENNESSEE COUNSELING SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON T LINK LPC (MANAGER)
(615) 453-7530
Entity
Organization
Contact information
Practice address
435 PARK AVENUE, STALLINGS BUILDING, LEBANON, TN 37087-3630
(615) 453-7530
(615) 453-7531
Mailing address
435 PARK AVENUE, STALLINGS BUILDING, LEBANON, TN 37087-3630
(615) 453-7530
(615) 453-7531
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
1496
TN
103TA0400X
Addiction (Substance Use Disorder) Psychologist
1725
TN
103TC0700X
Clinical Psychologist
Primary
1427
TN
Other
Enumeration date
10/31/2008
Last updated
10/31/2008
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