Organization
TM COLLABORATIVE NETWORK LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CAROLYNN MATHIS LMSW, LADACII, QCS (MANAGED MEMBER)
(509) 435-6699
Entity
Organization
Contact information
Practice address
1138 N GERMANTOWN PKY, SUITE 101 - #283, CORDOVA, TN 38016
(509) 435-6699
Mailing address
1138 N GERMANTOWN PKY, SUITE 101 - #283, CORDOVA, TN 38016
(509) 435-6699
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
03/18/2025
Last updated
03/18/2025
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