Provider Demographics
NPI:1467135483
Name:KELLY FISK COUNSELING
Entity Type:Organization
Organization Name:KELLY FISK COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MMFT
Authorized Official - Prefix:
Authorized Official - First Name:KELLY
Authorized Official - Middle Name:
Authorized Official - Last Name:FISK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-300-7078
Mailing Address - Street 1:2231 HILLSBORO RD
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37069-6245
Mailing Address - Country:US
Mailing Address - Phone:615-300-7078
Mailing Address - Fax:
Practice Address - Street 1:2231 HILLSBORO RD
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37069-6245
Practice Address - Country:US
Practice Address - Phone:615-300-7078
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:KBEE FITNESS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-08-08
Last Update Date:2023-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty