Provider Demographics
NPI:1942449467
Name:REINVENTING YOU LLC
Entity Type:Organization
Organization Name:REINVENTING YOU LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENCED PROFESSIONAL COUNSELOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:TORY
Authorized Official - Middle Name:LATRICE
Authorized Official - Last Name:SANDERS
Authorized Official - Suffix:
Authorized Official - Credentials:LPC/MHSP
Authorized Official - Phone:615-330-6829
Mailing Address - Street 1:1521 DUNBAR CAVE RD
Mailing Address - Street 2:SUITE 3
Mailing Address - City:CLARKSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37043-2100
Mailing Address - Country:US
Mailing Address - Phone:615-330-6829
Mailing Address - Fax:
Practice Address - Street 1:1521 DUNBAR CAVE RD
Practice Address - Street 2:SUITE 1
Practice Address - City:CLARKSVILLE
Practice Address - State:TN
Practice Address - Zip Code:37043-2100
Practice Address - Country:US
Practice Address - Phone:615-330-6829
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-05
Last Update Date:2016-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN2340101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty