Healthcare Provider Details

I. General information

NPI: 1518824341
Provider Name (Legal Business Name): JAMES BOEHM
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/05/2026
Last Update Date: 01/05/2026
Certification Date: 01/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

109 HOLIDAY CT STE D7
FRANKLIN TN
37067-1311
US

IV. Provider business mailing address

109 HOLIDAY CT STE D7
FRANKLIN TN
37067-1311
US

V. Phone/Fax

Practice location:
  • Phone: 901-483-1515
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number4844
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: