Healthcare Provider Details

I. General information

NPI: 1801705322
Provider Name (Legal Business Name): MONICA QUESNELL
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/02/2026
Last Update Date: 09/02/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1113 N CASTLE HEIGHTS AVE STE F
LEBANON TN
37087
US

IV. Provider business mailing address

1113 NORTH CASTLE HEIGHTS AVE STE F
LEBANON TN
37087
US

V. Phone/Fax

Practice location:
  • Phone: 615-994-1440
  • Fax:
Mailing address:
  • Phone: 615-994-1440
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number8492
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: