Provider Demographics
NPI:1851344840
Name:NOVA COUNSELING, INC
Entity Type:Organization
Organization Name:NOVA COUNSELING, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:LINDSEY
Authorized Official - Middle Name:F
Authorized Official - Last Name:BRASWE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:731-642-9026
Mailing Address - Street 1:204 WEST BLYTHE ST
Mailing Address - Street 2:SUITE 2
Mailing Address - City:PARIS
Mailing Address - State:TN
Mailing Address - Zip Code:38242-3423
Mailing Address - Country:US
Mailing Address - Phone:731-642-9026
Mailing Address - Fax:731-642-1838
Practice Address - Street 1:204 WEST BLYTHE ST
Practice Address - Street 2:SUITE 2
Practice Address - City:PARIS
Practice Address - State:TN
Practice Address - Zip Code:38242-3423
Practice Address - Country:US
Practice Address - Phone:731-642-9026
Practice Address - Fax:731-642-1838
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-18
Last Update Date:2012-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3730577Medicaid
TN3730577Medicare ID - Type UnspecifiedGROUP PROVIDER NUMBER