| Gray Matters Workshop, Llc | |
|
238 W Old Aj Hwy Jefferson City TN 37760-1801 | |
| (865) 469-2007 | |
| Not Available |
| Full Name | Gray Matters Workshop, Llc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 238 W Old Aj Hwy, Jefferson City, Tennessee |
| Authorized Official Name and Position | Candice Elaine Durman (OWNER-PROVIDER) |
| Authorized Official Contact | 8653090714 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gray Matters Workshop, Llc 238 W Old Aj Hwy Jefferson City TN 37760-1801 Ph: (865) 469-2007 | Gray Matters Workshop, Llc 238 W Old Aj Hwy Jefferson City TN 37760-1801 Ph: (865) 469-2007 |
| NPI Number | 1609688100 |
|---|---|
| Provider Enumeration Date | 01/22/2025 |
| Last Update Date | 01/22/2025 |
| Certification Date | 01/22/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609688100 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
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