Healthcare Provider Details

I. General information

NPI: 1710638598
Provider Name (Legal Business Name): BENNY ANDREW GARNER M.DIV., LMFT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/13/2022
Last Update Date: 12/01/2025
Certification Date: 12/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1604 WESTGATE CIR STE 150
BRENTWOOD TN
37027-8047
US

IV. Provider business mailing address

2007 LUNDY PASS
FRANKLIN TN
37069-1875
US

V. Phone/Fax

Practice location:
  • Phone: 615-300-3632
  • Fax:
Mailing address:
  • Phone: 615-300-3632
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number959
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: