Fostering Resilience, Pllc | |
26 Hamilton Station Xing Apt 103 Lebanon TN 37087-8991 | |
(615) 212-9216 | |
Not Available |
Full Name | Fostering Resilience, Pllc |
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Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 26 Hamilton Station Xing Apt 103, Lebanon, Tennessee |
Authorized Official Name and Position | Keyanna Evans (FOUNDER/CLINICAL THERAPIST) |
Authorized Official Contact | 6152129216 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Fostering Resilience, Pllc 401 S Mount Juliet Rd Ste 635 Mt Juliet TN 37122-8495 Ph: () - | Fostering Resilience, Pllc 26 Hamilton Station Xing Apt 103 Lebanon TN 37087-8991 Ph: (615) 212-9216 |
NPI Number | 1164266052 |
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Provider Enumeration Date | 06/24/2024 |
Last Update Date | 06/24/2024 |
Certification Date | 06/24/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1164266052 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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