Provider Demographics
NPI:1417099904
Name:TRIBBLE, HEATHER BROWN (BA)
Entity Type:Individual
Prefix:MS
First Name:HEATHER
Middle Name:BROWN
Last Name:TRIBBLE
Suffix:
Gender:F
Credentials:BA
Other - Prefix:
Other - First Name:HEATHER
Other - Middle Name:ROBERTA
Other - Last Name:BROWN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1161 MURFREESBORO PIKE SUITE 500
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37217
Mailing Address - Country:US
Mailing Address - Phone:615-398-9242
Mailing Address - Fax:615-528-5446
Practice Address - Street 1:1161 MURFREESBORO PIKE SUITE 500
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37217
Practice Address - Country:US
Practice Address - Phone:615-398-9242
Practice Address - Fax:615-528-5446
Is Sole Proprietor?:No
Enumeration Date:2007-02-13
Last Update Date:2023-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101Y00000X
TN5466101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor