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Organization

FAMILY RECONCILIATION CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MALINDA DAVENPORT CRISP LPC/MHSP (EXECUTIVE DIRECTOR)
(615) 554-5075
Entity
Organization

Contact information

Practice address
6300 CHARLOTTE PIKE, NASHVILLE, TN 37209-2927
(615) 554-5075
Mailing address
6300 CHARLOTTE PIKE, NASHVILLE, TN 37209-2927
(615) 554-5075

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2835
TN

Other

Enumeration date
10/20/2016
Last updated
10/20/2016
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