Organization
STABLE SPACE TRAUMA AND EQUINE THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RACHEL ANN SCOTT LPC-MHSP (THERAPIST)
(615) 295-6889
Entity
Organization
Contact information
Practice address
9580 S LICK CREEK RD, LYLES, TN 37098-3015
(615) 295-6889
Mailing address
9580 S LICK CREEK RD, LYLES, TN 37098-3015
(615) 295-6889
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
07/16/2025
Last updated
07/16/2025
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