Provider Demographics
NPI:1851469340
Name:PASTORAL COUNSELING CENTERS OF TENNESSEE, INC.
Entity Type:Organization
Organization Name:PASTORAL COUNSELING CENTERS OF TENNESSEE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF CLINICAL SERVICES
Authorized Official - Prefix:MR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:DOUGLAS
Authorized Official - Last Name:O'REAR
Authorized Official - Suffix:
Authorized Official - Credentials:MDIV, MMFT
Authorized Official - Phone:615-383-2115
Mailing Address - Street 1:100 VINE CT
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37205-2052
Mailing Address - Country:US
Mailing Address - Phone:615-383-2115
Mailing Address - Fax:615-385-1879
Practice Address - Street 1:100 VINE CT
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37205-2052
Practice Address - Country:US
Practice Address - Phone:615-383-2115
Practice Address - Fax:615-385-1879
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN2575251V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable