Individual
LACEY BETH FADELLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MMFT, LMFT
Contact information
Practice address
7101 PEACH CT, BRENTWOOD, TN 37027-5279
(615) 714-2733
Mailing address
1024 MANLEY LN, BRENTWOOD, TN 37027-5501
(615) 714-2733
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1711
TN
Other
Enumeration date
06/17/2021
Last updated
06/17/2021
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