Organization
CALM PLACE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN LOVELACE CREDENTIALING (CREDENTIALING)
(731) 410-7719
Entity
Organization
Contact information
Practice address
170 SMITHFIELD DR, JACKSON, TN 38305-1817
(731) 300-1117
(731) 265-6028
Mailing address
170 SMITHFIELD DR, JACKSON, TN 38305-1817
(731) 300-1117
(731) 265-6028
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q037696
—
TN
Enumeration date
02/07/2022
Last updated
02/07/2022
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