Healthcare Provider Details

I. General information

NPI: 1871534412
Provider Name (Legal Business Name): JOSEPH THOMAS VALLETTI LMFT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/08/2006
Last Update Date: 05/07/2021
Certification Date: 05/07/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2595 FAIRVIEW BLVD
FAIRVIEW TN
37062-9027
US

IV. Provider business mailing address

1113 MURFREESBORO RD STE 319
FRANKLIN TN
37064-1312
US

V. Phone/Fax

Practice location:
  • Phone: 615-790-0567
  • Fax: 615-814-2924
Mailing address:
  • Phone: 615-790-0567
  • Fax: 615-595-8030

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number0000000686
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: