Organization
FAMILY RECONCILIATION CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MALINDA DAVENPORT-CRISP PHD, LPC/MHSP (EXECUTIVE DIRECTOR)
(615) 554-5075
Entity
Organization
Contact information
Practice address
4710 CHARLOTTE PIKE, NASHVILLE, TN 37209-3405
(615) 554-5075
Mailing address
PO BOX 90827, NASHVILLE, TN 37209-0827
(615) 554-5075
Taxonomy
Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
Primary
—
—
Other
Enumeration date
07/25/2014
Last updated
07/28/2014
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