Provider Demographics
NPI:1225377153
Name:BEN VOS PROFESSIONAL COUNSELING PLLC
Entity Type:Organization
Organization Name:BEN VOS PROFESSIONAL COUNSELING PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:BENJAMIN
Authorized Official - Middle Name:J
Authorized Official - Last Name:VOS
Authorized Official - Suffix:
Authorized Official - Credentials:LPC-MHSP
Authorized Official - Phone:615-301-1839
Mailing Address - Street 1:100 WINNERS CIR N
Mailing Address - Street 2:SUITE 120
Mailing Address - City:BRENTWOOD
Mailing Address - State:TN
Mailing Address - Zip Code:37027-5012
Mailing Address - Country:US
Mailing Address - Phone:615-301-1839
Mailing Address - Fax:
Practice Address - Street 1:100 WINNERS CIR N
Practice Address - Street 2:SUITE 120
Practice Address - City:BRENTWOOD
Practice Address - State:TN
Practice Address - Zip Code:37027-5012
Practice Address - Country:US
Practice Address - Phone:615-301-1839
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-13
Last Update Date:2013-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN2041251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health