MEDICARE: TASHA DAYHOFF ESCUE M.A; LPC-MHSP

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	101YM0800X	Mental Health Counselor
2	101YM0800X	Mental Health Counselor	3850	TN

General Provider Information

NPI Number	:	1356483168
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TASHA DAYHOFF ESCUE M.A; LPC-MHSP

Provider Business Mailing Address
First Line	:	119 GROVE LN S
Second Line	:
City	:	HENDERSONVILLE
State	:	TN
Zip	:	37075-7006
Country	:	US
Telephone Number	:	731-426-4824
Fax Number	:

Provider Business Practice Location Address
First Line	:	119 GROVE LN S
Second Line	:
City	:	HENDERSONVILLE
State	:	TN
Zip	:	37075-7006
Country	:	US
Telephone Number	:	731-426-4824
Fax Number	:

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

Provider Enumeration Date	:	02/12/2007
Last Update Date	:	04/02/2023

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