| Phoenix Equestrian Center Llc | |
|
146 Montgomery Rd Goodlettsville TN 37072-8411 | |
| (615) 516-4016 | |
| (888) 332-0301 |
| Full Name | Phoenix Equestrian Center Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 146 Montgomery Rd, Goodlettsville, Tennessee |
| Authorized Official Name and Position | Tabitha N Finney (OWNER) |
| Authorized Official Contact | 6155164016 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Phoenix Equestrian Center Llc 141 Menees Ln Madison TN 37115-5801 Ph: (615) 516-4016 | Phoenix Equestrian Center Llc 146 Montgomery Rd Goodlettsville TN 37072-8411 Ph: (615) 516-4016 |
| NPI Number | 1558612226 |
|---|---|
| Provider Enumeration Date | 09/21/2012 |
| Last Update Date | 09/21/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558612226 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Secondary |
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