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NPI Code Detail

MEDICARE: FAMILY COUNSELING CENTER OF MIDDLE TENNESSEE, INC

MEDICARE: FAMILY COUNSELING CENTER OF MIDDLE TENNESSEE, INC
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 Counselor

General Provider Information

NPI Number : 1912864497
Entity Type Code : Organization
Provider Name (Legal Business Name) : FAMILY COUNSELING CENTER OF MIDDLE TENNESSEE, INC
Provider Business Mailing Address
First Line : 806 CLOVER LN
Second Line :
City : MANCHESTER
State : TN
Zip : 37355-2377
Country : US
Telephone Number : 931-723-0380
Fax Number : 931-723-0358
Provider Business Practice Location Address
First Line : 806 CLOVER LN
Second Line :
City : MANCHESTER
State : TN
Zip : 37355-2377
Country : US
Telephone Number : 931-723-0380
Fax Number : 931-723-0358
Authorized Official
Title or Position : BUSINESS MANAGER
Name : DUSTIN TAYLOR WISEMAN
Credential : MDIV
Telephone Number : 931-723-0380
Provider Enumeration Date : 01/07/2026
Last Update Date : 01/07/2026

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Directions to “FAMILY COUNSELING CENTER OF MIDDLE TENNESSEE, INC ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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