Organization
FT BHWC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL POOLOS (CEO)
(512) 694-7848
Entity
Organization
Contact information
Practice address
3817 BEDFORD AVE STE 220, NASHVILLE, TN 37215-2545
(310) 766-5860
Mailing address
3817 BEDFORD AVE STE 220, NASHVILLE, TN 37215-2545
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
103T00000X
Psychologist
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
02/23/2022
Last updated
03/06/2023
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