Organization
COUNSELING AND LEARNING CENTER OF TENNESSEE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AIMEE MILTICH LYST PHD (CLINICAL DIRECTOR)
(615) 550-3560
Entity
Organization
Contact information
Practice address
109 INTERNATIONAL DR, SUITE 220, FRANKLIN, TN 37067-1761
(615) 550-3560
(615) 550-3580
Mailing address
109 INTERNATIONAL DR, SUITE 220, FRANKLIN, TN 37067-1761
(615) 550-3560
(615) 550-3580
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
2760
TN
2084P0800X
Psychiatry Physician
Primary
45603
TN
Other
Enumeration date
01/24/2014
Last updated
01/24/2014
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