Provider Demographics
NPI:1598248288
Name:SILLER, BETH PAMELA (LMFT)
Entity Type:Individual
Prefix:
First Name:BETH
Middle Name:PAMELA
Last Name:SILLER
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3100 VILLAGE PLAINS DR APT 314
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37064-2047
Mailing Address - Country:US
Mailing Address - Phone:561-374-4333
Mailing Address - Fax:
Practice Address - Street 1:3100 VILLAGE PLAINS DR
Practice Address - Street 2:314
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37064-2047
Practice Address - Country:US
Practice Address - Phone:561-374-4333
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-09-10
Last Update Date:2023-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN1766106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA390200000XMedicaid