Organization
NEW LEAF COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GLEN MADISON TILGHMAN LCSW (OWNER)
(731) 599-9965
Entity
Organization
Contact information
Practice address
201 W MAIN ST, UNION CITY, TN 38261-2131
(731) 599-9965
Mailing address
196 PREACHER DOWLAND RD, KENTON, TN 38233-3071
(731) 445-0908
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q089173
—
TN
Enumeration date
03/08/2024
Last updated
03/08/2024
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