Healthcare Provider Details
I. General information
NPI: 1578399671
Provider Name (Legal Business Name): A2 VENTURES LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/13/2024
Last Update Date: 06/05/2026
Certification Date: 06/05/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2031 N MOUNT JULIET RD
MT JULIET TN
37122-3316
US
IV. Provider business mailing address
291 CLEAR SKY CT STE F
CLARKSVILLE TN
37043-5951
US
V. Phone/Fax
- Phone: 615-498-5612
- Fax:
- Phone: 615-498-5612
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101YA0400X |
| Taxonomy | Addiction (Substance Use Disorder) Counselor |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YP2500X |
| Taxonomy | Professional Counselor |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 104100000X |
| Taxonomy | Social Worker |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
DAWN
A
HOWINGTON
Title or Position: OWNER
Credential: LPC-MHSP
Phone: 615-498-5612