Provider Demographics
NPI:1477251973
Name:FADELLE COUNSELING AND WELLNESS, LLC
Entity Type:Organization
Organization Name:FADELLE COUNSELING AND WELLNESS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARTEN
Authorized Official - Middle Name:A
Authorized Official - Last Name:FADELLE
Authorized Official - Suffix:
Authorized Official - Credentials:MMFT
Authorized Official - Phone:615-212-5121
Mailing Address - Street 1:1024 MANLEY LN E
Mailing Address - Street 2:
Mailing Address - City:BRENTWOOD
Mailing Address - State:TN
Mailing Address - Zip Code:37027-5501
Mailing Address - Country:US
Mailing Address - Phone:615-212-5121
Mailing Address - Fax:
Practice Address - Street 1:7101 PEACH CT STE 200
Practice Address - Street 2:
Practice Address - City:BRENTWOOD
Practice Address - State:TN
Practice Address - Zip Code:37027-5279
Practice Address - Country:US
Practice Address - Phone:615-212-5121
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-23
Last Update Date:2023-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty