Provider Demographics
NPI:1861005886
Name:MIDTOWN NASHVILLE COUNSELING
Entity Type:Organization
Organization Name:MIDTOWN NASHVILLE COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BENNY
Authorized Official - Middle Name:ANDREW
Authorized Official - Last Name:GARNER
Authorized Official - Suffix:
Authorized Official - Credentials:MDIV, LMFT
Authorized Official - Phone:615-300-3632
Mailing Address - Street 1:2007 LUNDY PASS
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37069-1875
Mailing Address - Country:US
Mailing Address - Phone:615-300-3632
Mailing Address - Fax:
Practice Address - Street 1:1900 CHURCH ST STE 300
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37203-2285
Practice Address - Country:US
Practice Address - Phone:615-300-3632
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-28
Last Update Date:2020-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty