| Main Street Interventions | |
|
100 N Main St Dickson TN 37055-1889 | |
| (615) 740-7100 | |
| (615) 740-8329 |
| Full Name | Main Street Interventions |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 100 N Main St, Dickson, Tennessee |
| Authorized Official Name and Position | Patti Flores Pugh (OWNER) |
| Authorized Official Contact | 6157407100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Main Street Interventions 100 N Main St Dickson TN 37055-1889 Ph: (615) 740-7100 | Main Street Interventions 100 N Main St Dickson TN 37055-1889 Ph: (615) 740-7100 |
| NPI Number | 1023558897 |
|---|---|
| Provider Enumeration Date | 02/27/2017 |
| Last Update Date | 02/27/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023558897 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 547 (Tennessee) | Primary |
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