Healthcare Provider Details

I. General information

NPI: 1366305252
Provider Name (Legal Business Name): ABIGAIL SORROW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ABIGAIL HOWE

II. Dates (important events)

Enumeration Date: 12/08/2025
Last Update Date: 12/08/2025
Certification Date: 12/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7115 SOUTHPOINTE PKWY STE 5 PMB 176
BRENTWOOD TN
37027
US

IV. Provider business mailing address

7115 SOUTHPOINTE PKWY STE 5 PMB 176
BRENTWOOD TN
37027
US

V. Phone/Fax

Practice location:
  • Phone: 615-538-7135
  • Fax:
Mailing address:
  • Phone: 615-538-7135
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number8339
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: