Healthcare Provider Details

I. General information

NPI: 1104656297
Provider Name (Legal Business Name): CHENXI ZHU M.ED.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/05/2024
Last Update Date: 08/05/2024
Certification Date: 08/05/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

103 CONTINENTAL PL STE 400
BRENTWOOD TN
37027-1073
US

IV. Provider business mailing address

246 WHITE BRIDGE PIKE APT A10
NASHVILLE TN
37209-3232
US

V. Phone/Fax

Practice location:
  • Phone: 615-823-1992
  • Fax:
Mailing address:
  • Phone: 615-730-1442
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: