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HENDRICK COUNSELING SERVICES, INC

Behavioral Health & Social Service Providers Psychologist Prescribing (Medical)

Provider NPI: 1215468467

Organization Information:
Organization Name:  HENDRICK COUNSELING SERVICES, INC
Organization is not Subpart
Authorized Official:  KIMBERLEY  HENDRICK  OWNER  615-449-9611

Practice Location:
440 PARK AVE  LEBANON, TN 37087-3664 US
Tel: 615-449-9611  Fax: 615-453-7051

Business Mailing Address:
440 PARK AVE  LEBANON, TN 37087 US
Tel: 615-449-9611  Fax: 615-453-7051

NPI Information:
NPI: 1215468467
Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y103TP0016XBehavioral Health & Social Service Providers
Psychologist
Prescribing (Medical)
TNAPN0000012314

Other Provider Identifiers:

IssuerNumberStateType



American Medical Association 2012 taxonomy code information

Code: 103TP0016X

Type:

Classification:



Definition:



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