Provider Demographics
NPI:1699216358
Name:WESTSIDE PSYCH & WELLNESS, PLLC
Entity Type:Organization
Organization Name:WESTSIDE PSYCH & WELLNESS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST, FOUNDING MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:CURRY
Authorized Official - Last Name:GRINER
Authorized Official - Suffix:
Authorized Official - Credentials:LPC-MHSP
Authorized Official - Phone:615-561-5539
Mailing Address - Street 1:655 SHADOWOOD DR
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37205-4666
Mailing Address - Country:US
Mailing Address - Phone:615-561-5539
Mailing Address - Fax:
Practice Address - Street 1:2021 RICHARD JONES RD
Practice Address - Street 2:SUITE 350 B
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37215-2860
Practice Address - Country:US
Practice Address - Phone:615-561-5539
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-14
Last Update Date:2017-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN2911101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty