Healthcare Provider Details

I. General information

NPI: 1114771086
Provider Name (Legal Business Name): FROM THE HEART THERAPY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/16/2024
Last Update Date: 03/25/2026
Certification Date: 03/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2024 EXETER RD STE 1
GERMANTOWN TN
38138-3933
US

IV. Provider business mailing address

2020 EXETER RD STE 1
GERMANTOWN TN
38138-3945
US

V. Phone/Fax

Practice location:
  • Phone: 901-613-9708
  • Fax:
Mailing address:
  • Phone: 901-613-9708
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: DR. LEIGH PITRE
Title or Position: OWNER
Credential: PHD, LPC-MHSP
Phone: 901-613-9708