Organization
LIFESPARK PLLC
Active
Other names
Expert Psych Solutions
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON HOLLAND PHD (CEO)
(615) 442-6229
Entity
Organization
Contact information
Practice address
118 PUBLIC SQ, GALLATIN, TN 37066-2803
(615) 442-6229
(615) 675-0026
Mailing address
118 PUBLIC SQ, GALLATIN, TN 37066-2803
(615) 442-6229
(615) 675-0026
Taxonomy
Speciality
Code
Description
License number
State
103TA0700X
Adult Development & Aging Psychologist
—
—
103TC0700X
Clinical Psychologist
Primary
—
—
103TF0200X
Forensic Psychologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1407328214
NPPES ORGANIZATIONAL NPI FOR MEANINGFUL LIVING LLC
—
01
—
1912478108
NPPES INDIVIDUAL NPI
—
Enumeration date
12/21/2018
Last updated
03/12/2026
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