Organization
THE STARTING PLACE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUSAN J LOVELACE (ACCOUNTS MANAGER)
(731) 445-0089
Entity
Organization
Contact information
Practice address
180 W. UNIVERSITY PKWY, SUITE H, JACKSON, TN 38305-1612
(731) 499-2508
Mailing address
PO BOX 10875, JACKSON, TN 38308-0114
(731) 445-0089
(731) 732-4083
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LSW0000005633
TN
1041C0700X
Clinical Social Worker
LSW0000005633
TN
Other
Enumeration date
01/17/2013
Last updated
03/17/2015
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