Healthcare Provider Details

I. General information

NPI: 1548185754
Provider Name (Legal Business Name): PALM GROVE THERAPY, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/13/2026
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4115 MALLORY LN
FRANKLIN TN
37067-2906
US

IV. Provider business mailing address

1235 SPRUELL DR
NOLENSVILLE TN
37135-2990
US

V. Phone/Fax

Practice location:
  • Phone: 423-400-0112
  • Fax:
Mailing address:
  • Phone: 423-400-0112
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MS. MARY KATHERINE ANTHONY
Title or Position: CEO
Credential: LMFT
Phone: 423-400-0112