Individual
TE'LYSHA PEAKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
640 GRASSMERE PARK STE 116, NASHVILLE, TN 37211-3678
(615) 866-8922
Mailing address
2900 BABY RUTH LN APT 1103, ANTIOCH, TN 37013-2366
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
08/26/2019
Last updated
07/07/2021
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