Organization
BRENTWOOD COUNSELING ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANE E JENKINS (OFFICE MANAGER)
(615) 377-1153
Entity
Organization
Contact information
Practice address
5200 MARYLAND WAY STE 102, BRENTWOOD, TN 37027-5072
(615) 377-1153
Mailing address
5200 MARYLAND WAY STE 102, BRENTWOOD, TN 37027-5072
(615) 377-1153
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
103TC0700X
Clinical Psychologist
—
—
103TC1900X
Counseling Psychologist
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
01/17/2019
Last updated
01/17/2019
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