| Your Tennessee Counselor, Pllc | |
|
109 E South St Collierville TN 38017-3018 | |
| (901) 647-0540 | |
| Not Available |
| Full Name | Your Tennessee Counselor, Pllc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 109 E South St, Collierville, Tennessee |
| Authorized Official Name and Position | Lauren Ashley (OWNER) |
| Authorized Official Contact | 9016470540 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Your Tennessee Counselor, Pllc 30 Mallard Ln Rossville TN 38066-1505 Ph: (901) 647-0540 | Your Tennessee Counselor, Pllc 109 E South St Collierville TN 38017-3018 Ph: (901) 647-0540 |
| NPI Number | 1669104311 |
|---|---|
| Provider Enumeration Date | 06/29/2022 |
| Last Update Date | 08/17/2022 |
| Certification Date | 08/17/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669104311 | NPI | - | NPPES |
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