Individual
LAUREN MELISSA MOURIER BENTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
440 PARK AVE STE A, LEBANON, TN 37087-3665
(423) 653-1194
Mailing address
924A STROUSE AVE, NASHVILLE, TN 37206-3329
(423) 653-1194
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7123
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q017979
—
TN
Enumeration date
02/24/2016
Last updated
01/31/2022
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