Organization
PERSONAL DEVELOPMENT CENTER, INC.
Active
Other names
Personal Growth and Learning Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CAROLE LOVELL PSYD LCSW (CHIEF EXECUTIVE OFFICER)
(931) 520-8435
Entity
Organization
Contact information
Practice address
509 N CEDAR AVE, COOKEVILLE, TN 38501-1707
(931) 520-8435
(931) 372-7225
Mailing address
509 N CEDAR AVE, COOKEVILLE, TN 38501-1707
(931) 520-8435
(931) 372-7225
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
TN
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
9660
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3708402
—
TN
Enumeration date
03/17/2007
Last updated
04/10/2012
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