Organization
BONAFIDE THERAPEUTIC ALLIANCE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. REMINGTON VANDERGRIFF LCSW (OWNER)
(931) 914-4807
Entity
Organization
Contact information
Practice address
1792 PATRICIA DR, CLARKSVILLE, TN 37040-7345
(931) 914-4807
Mailing address
1792 PATRICIA DR, CLARKSVILLE, TN 37040-7345
(931) 914-4807
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
10/07/2025
Last updated
10/07/2025
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