Provider Demographics
NPI:1295908416
Name:RESOLUTION THERAPY ASSOCIATES, PLLC
Entity type:Organization
Organization Name:RESOLUTION THERAPY ASSOCIATES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTINA
Authorized Official - Middle Name:S
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:615-414-8249
Mailing Address - Street 1:228 W MAIN ST
Mailing Address - Street 2:STE. B
Mailing Address - City:LEBANON
Mailing Address - State:TN
Mailing Address - Zip Code:37087-2744
Mailing Address - Country:US
Mailing Address - Phone:615-414-8249
Mailing Address - Fax:
Practice Address - Street 1:228 W MAIN ST
Practice Address - Street 2:STE. B
Practice Address - City:LEBANON
Practice Address - State:TN
Practice Address - Zip Code:37087-2744
Practice Address - Country:US
Practice Address - Phone:615-414-8249
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-09
Last Update Date:2008-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN41961041C0700X
TN2655103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounselingGroup - Multi-Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty