Healthcare Provider Details

I. General information

NPI: 1285872036
Provider Name (Legal Business Name): FACES OF HOPE CHILDREN'S THERAPY CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/02/2009
Last Update Date: 09/10/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

185 W FRANKLIN ST
GALLATIN TN
37066-2764
US

IV. Provider business mailing address

PO BOX 12
GALLATIN TN
37066-0012
US

V. Phone/Fax

Practice location:
  • Phone: 615-206-1176
  • Fax: 615-206-1177
Mailing address:
  • Phone: 615-206-1176
  • Fax: 615-206-1177

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QD1600X
TaxonomyDevelopmental Disabilities Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QR0400X
TaxonomyRehabilitation Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MRS. LESLIE C FACE-LEE
Title or Position: EXECUTIVE DIRECTOR
Credential: M.ED.
Phone: 615-206-1176