Provider Demographics
NPI:1255073904
Name:SARTIN, MADISON (MA, MMFT)
Entity type:Individual
Prefix:MS
First Name:MADISON
Middle Name:
Last Name:SARTIN
Suffix:
Gender:F
Credentials:MA, MMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1065 VIDA WAY
Mailing Address - Street 2:
Mailing Address - City:NOLENSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37135-2924
Mailing Address - Country:US
Mailing Address - Phone:615-485-0110
Mailing Address - Fax:
Practice Address - Street 1:103 CONTINENTAL PL
Practice Address - Street 2:
Practice Address - City:BRENTWOOD
Practice Address - State:TN
Practice Address - Zip Code:37027-1041
Practice Address - Country:US
Practice Address - Phone:615-485-0110
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-12
Last Update Date:2022-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN1815106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist