Provider Demographics
NPI:1912500711
Name:SAFFLE, MARIAN ELIZABETH (LPC-MHSP (TEMP))
Entity Type:Individual
Prefix:
First Name:MARIAN
Middle Name:ELIZABETH
Last Name:SAFFLE
Suffix:
Gender:F
Credentials:LPC-MHSP (TEMP)
Other - Prefix:
Other - First Name:MARIAN
Other - Middle Name:ELIZABETH
Other - Last Name:LOWERY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:354 COOL SPRINGS BLVD STE 105
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37067-1689
Mailing Address - Country:US
Mailing Address - Phone:615-771-1100
Mailing Address - Fax:
Practice Address - Street 1:354 COOL SPRINGS BLVD STE 105
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37067-1689
Practice Address - Country:US
Practice Address - Phone:615-771-1100
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-16
Last Update Date:2020-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN4439101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health