Organization
PHO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICE HELENE HINTON OSWALT LPC MHSP (LPC MHSP)
(205) 504-1587
Entity
Organization
Contact information
Practice address
100 WINNERS CIR N STE 120, BRENTWOOD, TN 37027-5012
(205) 504-1587
Mailing address
6069 FRONTIER LN, NASHVILLE, TN 37211-6220
(205) 504-1587
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
MH15135
FL
Other
Enumeration date
06/28/2018
Last updated
06/28/2018
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