Provider Demographics
NPI:1184937138
Name:FANNING, BELINDA C (LMFT)
Entity type:Individual
Prefix:MS
First Name:BELINDA
Middle Name:C
Last Name:FANNING
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:120 CENTER POINTE DR STE 1
Mailing Address - Street 2:
Mailing Address - City:CLARKSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37040-1632
Mailing Address - Country:US
Mailing Address - Phone:931-213-5300
Mailing Address - Fax:423-565-0149
Practice Address - Street 1:120 CENTER POINTE DR STE 1
Practice Address - Street 2:
Practice Address - City:CLARKSVILLE
Practice Address - State:TN
Practice Address - Zip Code:37040-1632
Practice Address - Country:US
Practice Address - Phone:931-213-5300
Practice Address - Fax:931-553-4176
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-20
Last Update Date:2024-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN#875106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist