Organization
COUNSELING SERVICES OF MIDDLE TN, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIM MARIE PADULA LCSW (MEMBER)
(615) 418-0538
Entity
Organization
Contact information
Practice address
420 NORTH MAIN ST, GOODLETTSVILLE, TN 37072
(615) 418-0538
(615) 859-4990
Mailing address
PO BOX 292434, NASHVILLE, TN 37229-2434
(615) 418-0538
(615) 859-4990
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3352
TN
Other
Enumeration date
06/01/2007
Last updated
08/22/2020
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