Provider Demographics
NPI:1629249701
Name:MADISON CHURCH OF CHRIST COUNSELING CENTER
Entity Type:Organization
Organization Name:MADISON CHURCH OF CHRIST COUNSELING CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR: COUNSELING CENTER
Authorized Official - Prefix:DR
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:
Authorized Official - Last Name:SCOTT
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:615-860-3251
Mailing Address - Street 1:106 GALLATIN PIKE N
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:TN
Mailing Address - Zip Code:37115-3702
Mailing Address - Country:US
Mailing Address - Phone:615-860-3286
Mailing Address - Fax:615-860-3227
Practice Address - Street 1:106 GALLATIN PIKE N
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:TN
Practice Address - Zip Code:37115-3702
Practice Address - Country:US
Practice Address - Phone:615-860-3286
Practice Address - Fax:615-860-3227
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-17
Last Update Date:2008-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health