Healthcare Provider Details

I. General information

NPI: 1770216186
Provider Name (Legal Business Name): TENNESSEE MENTAL WELLNESS INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/04/2022
Last Update Date: 04/30/2025
Certification Date: 04/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1185 NASHVILLE PIKE
GALLATIN TN
37066
US

IV. Provider business mailing address

1185 NASHVILLE PIKE
GALLATIN TN
37066
US

V. Phone/Fax

Practice location:
  • Phone: 615-732-2466
  • Fax:
Mailing address:
  • Phone: 615-732-2466
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name: EMILY RUNYAN
Title or Position: OWNER
Credential: LMFT
Phone: 615-636-1651