MEDICARE: CONSULTING ASSOCIATES, LLC

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	103TC0700X	Clinical Psychologist

General Provider Information

NPI Number	:	1891630240
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CONSULTING ASSOCIATES, LLC

Provider Business Mailing Address
First Line	:	2611 SALEM CREEK DR
Second Line	:
City	:	MURFREESBORO
State	:	TN
Zip	:	37128-5587
Country	:	US
Telephone Number	:	615-310-1491
Fax Number	:	615-848-0337

Provider Business Practice Location Address
First Line	:	2611 SALEM CREEK DR
Second Line	:
City	:	MURFREESBORO
State	:	TN
Zip	:	37128-5587
Country	:	US
Telephone Number	:	615-310-1491
Fax Number	:	615-848-0337

Authorized Official
Title or Position	:	BILLING
Name	:	ASHLEY BAGLEY
Credential	:	BAGLEY
Telephone Number	:	615-310-1491

Provider Enumeration Date	:	04/22/2026
Last Update Date	:	04/22/2026

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