Healthcare Provider Details

I. General information

NPI: 1225990823
Provider Name (Legal Business Name): WILD VIOLET COUNSELING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/02/2025
Last Update Date: 12/02/2025
Certification Date: 12/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9019 OVERLOOK BLVD STE C5
BRENTWOOD TN
37027-2735
US

IV. Provider business mailing address

635 3RD AVE S
NASHVILLE TN
37210-2011
US

V. Phone/Fax

Practice location:
  • Phone: 615-200-0576
  • Fax: 615-235-0584
Mailing address:
  • Phone: 615-200-0576
  • Fax: 615-235-0582

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State

VIII. Authorized Official

Name: LAUREN SHULER
Title or Position: OWNER & THERAPIST
Credential: LCSW
Phone: 615-200-0576