Provider Demographics
NPI:1457061053
Name:SMITH, AUBREY ROSE (MMFT)
Entity Type:Individual
Prefix:
First Name:AUBREY
Middle Name:ROSE
Last Name:SMITH
Suffix:
Gender:F
Credentials:MMFT
Other - Prefix:
Other - First Name:AUBREY
Other - Middle Name:ROSE
Other - Last Name:IRELAND
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MMFT
Mailing Address - Street 1:12000 TOLL HOUSE CIR APT 12317
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37064-4444
Mailing Address - Country:US
Mailing Address - Phone:859-489-8568
Mailing Address - Fax:
Practice Address - Street 1:1604 WESTGATE CIR
Practice Address - Street 2:
Practice Address - City:BRENTWOOD
Practice Address - State:TN
Practice Address - Zip Code:37027-1300
Practice Address - Country:US
Practice Address - Phone:615-594-2830
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-12-05
Last Update Date:2022-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty