Organization
MAMAYA HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY LYNN GREEN LCSW (CEO)
(225) 281-5049
Entity
Organization
Contact information
Practice address
1 VANTAGE WAY STE E130, NASHVILLE, TN 37228-1591
(615) 988-4763
(615) 285-8056
Mailing address
1 VANTAGE WAY STE E130, NASHVILLE, TN 37228-1591
(615) 988-4763
(615) 285-8056
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
01/29/2024
Last updated
01/29/2024
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