Organization
COUNSELING AND LEARNING CENTER OF TENNESSEE
Active
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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