Provider Demographics
NPI:1356006647
Name:KRATZERT, EMILY (TLMFT)
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:
Last Name:KRATZERT
Suffix:
Gender:F
Credentials:TLMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:900 HERMITAGE RDG
Mailing Address - Street 2:
Mailing Address - City:HERMITAGE
Mailing Address - State:TN
Mailing Address - Zip Code:37076-1023
Mailing Address - Country:US
Mailing Address - Phone:904-891-7067
Mailing Address - Fax:
Practice Address - Street 1:2021 21ST AVE S STE 430
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37212-4346
Practice Address - Country:US
Practice Address - Phone:904-891-7067
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-11-02
Last Update Date:2021-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN1619106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist