MEDICARE: JOSIE A OAKLEY LMFT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106H00000X	Marriage & Family Therapist	LMT0000000745	TN

General Provider Information

NPI Number	:	1053547315
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSIE A OAKLEY LMFT

Provider Business Mailing Address
First Line	:	4055 WILLIFORD WAY
Second Line	:
City	:	SPRING HILL
State	:	TN
Zip	:	37174-6224
Country	:	US
Telephone Number	:	615-412-1012
Fax Number	:

Provider Business Practice Location Address
First Line	:	5326 MAIN ST
Second Line	:
City	:	SPRING HILL
State	:	TN
Zip	:	37174-2410
Country	:	US
Telephone Number	:	615-412-1012
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/01/2009
Last Update Date	:	06/01/2009

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