Provider Demographics
NPI:1982395091
Name:NURTURED SOUL COUNSELING AND WELLNESS, PLLC
Entity Type:Organization
Organization Name:NURTURED SOUL COUNSELING AND WELLNESS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARY
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:GREEN
Authorized Official - Suffix:
Authorized Official - Credentials:LPC-MHSP, RDN, LDN
Authorized Official - Phone:615-919-5088
Mailing Address - Street 1:7501 OLD HARDING PIKE
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37221-3358
Mailing Address - Country:US
Mailing Address - Phone:615-205-9943
Mailing Address - Fax:615-266-8938
Practice Address - Street 1:7501 OLD HARDING PIKE
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37221-3358
Practice Address - Country:US
Practice Address - Phone:615-205-9943
Practice Address - Fax:615-266-8938
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-18
Last Update Date:2023-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Multi-Specialty