Organization
STONEBRIDGE FAMILY COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW LYON MMFT (OWNER)
(615) 516-3825
Entity
Organization
Contact information
Practice address
209 EDISON ST E, FAYETTEVILLE, TN 37334-3007
(615) 516-3825
Mailing address
209 EDISON ST E, FAYETTEVILLE, TN 37334-3007
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
04/06/2017
Last updated
04/06/2017
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