Individual
MR. BLAKE ELLIS TIMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
3310 PERIMETER HILL DR, NASHVILLE, TN 37211-4123
(615) 250-7200
Mailing address
2601 HILLSBORO PIKE APT C3, NASHVILLE, TN 37212-5609
(251) 222-3508
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
10/20/2017
Last updated
10/20/2017
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