Provider Demographics
NPI:1033843339
Name:ASLLANI, ARDITA
Entity Type:Individual
Prefix:
First Name:ARDITA
Middle Name:
Last Name:ASLLANI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:338 TREY LN
Mailing Address - Street 2:
Mailing Address - City:GALLATIN
Mailing Address - State:TN
Mailing Address - Zip Code:37066-3620
Mailing Address - Country:US
Mailing Address - Phone:615-479-4270
Mailing Address - Fax:
Practice Address - Street 1:131 INDIAN LAKE RD STE 102
Practice Address - Street 2:
Practice Address - City:HENDERSONVILLE
Practice Address - State:TN
Practice Address - Zip Code:37075-3884
Practice Address - Country:US
Practice Address - Phone:615-205-2252
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-12
Last Update Date:2024-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN883207327OtherCOUNSELING