| Pho Llc | |
|
100 Winners Cir N Ste 120 Brentwood TN 37027-5012 | |
| (205) 504-1587 | |
| Not Available |
| Full Name | Pho Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 100 Winners Cir N Ste 120, Brentwood, Tennessee |
| Authorized Official Name and Position | Patrice Helene Hinton Oswalt (LPC MHSP) |
| Authorized Official Contact | 2055041587 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pho Llc 6069 Frontier Ln Nashville TN 37211-6220 Ph: (205) 504-1587 | Pho Llc 100 Winners Cir N Ste 120 Brentwood TN 37027-5012 Ph: (205) 504-1587 |
| NPI Number | 1407341753 |
|---|---|
| Provider Enumeration Date | 06/28/2018 |
| Last Update Date | 06/28/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407341753 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | MH15135 (Florida) | Primary |
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