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NPI Code Detail

MEDICARE: VICTORIA SOM

MEDICARE: VICTORIA SOM
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
1101YP2500XProfessional CounselorTN

General Provider Information

NPI Number : 1578222394
Entity Type Code : Individual
Provider Name (Legal Business Name) : VICTORIA SOM
Provider Business Mailing Address
First Line : 1607 KENSINGTON DR
Second Line :
City : MURFREESBORO
State : TN
Zip : 37130-5949
Country : US
Telephone Number : 615-294-5830
Fax Number :
Provider Business Practice Location Address
First Line : 143 SE PARKWAY CT
Second Line :
City : FRANKLIN
State : TN
Zip : 37064-3968
Country : US
Telephone Number : 615-790-0567
Fax Number : 615-595-8030
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/08/2021
Last Update Date : 05/26/2026

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Directions to “ VICTORIA SOM ” Practice Location

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