Organization
HIGHLANDS PSYCHOLOGICAL GROUP, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TRAY KIMBALL (SR. VP OF OPERATIONS)
(615) 895-0710
Entity
Organization
Contact information
Practice address
2656 RIDEOUT LN, MURFREESBORO, TN 37128-7607
(615) 895-0710
Mailing address
PO BOX 10009, MURFREESBORO, TN 37129-0001
(615) 895-0710
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
103TC0700X
Clinical Psychologist
Primary
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
05/31/2012
Last updated
05/31/2012
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