Healthcare Provider Details

I. General information

NPI: 1013159722
Provider Name (Legal Business Name): GAYDEN MCFARLIN FITE LPC-MHSP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/26/2009
Last Update Date: 05/18/2025
Certification Date: 05/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

359 HILLMAN ST
KINGSTON SPRINGS TN
37082-9073
US

IV. Provider business mailing address

359 HILLMAN STREET
KINGSTON SPRINGS TN
37082-9073
US

V. Phone/Fax

Practice location:
  • Phone: 615-440-8909
  • Fax:
Mailing address:
  • Phone: 615-440-8909
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLPC0000002151
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: