Provider Demographics
NPI:1952734253
Name:CRISS, SARAH ASHLEY (MMFT)
Entity Type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:ASHLEY
Last Name:CRISS
Suffix:
Gender:F
Credentials:MMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1113 MURFREESBORO RD STE 319
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37064-1312
Mailing Address - Country:US
Mailing Address - Phone:615-790-0567
Mailing Address - Fax:615-814-2924
Practice Address - Street 1:1600 SUMMERLYN DR
Practice Address - Street 2:
Practice Address - City:NOLENSVILLE
Practice Address - State:TN
Practice Address - Zip Code:37135-1547
Practice Address - Country:US
Practice Address - Phone:615-790-0567
Practice Address - Fax:615-814-2924
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-10
Last Update Date:2019-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN1077106H00000X
PRE-LICENSED106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist