Healthcare Provider Details
I. General information
NPI: 1528659752
Provider Name (Legal Business Name): TUCKER-HUGGINS & DRIGGS
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/30/2021
Last Update Date: 04/28/2023
Certification Date: 04/28/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
805 S CHURCH ST STE 20
MURFREESBORO TN
37130-5297
US
IV. Provider business mailing address
805 S CHURCH ST STE 20
MURFREESBORO TN
37130-5297
US
V. Phone/Fax
- Phone: 931-212-7227
- Fax: 615-809-2090
- Phone: 931-212-7227
- Fax: 615-809-2090
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101YP2500X |
| Taxonomy | Professional Counselor |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
LAURA
LEE
TUCKER-HUGGINS
Title or Position: OWNER
Credential: LPC-MHSP
Phone: 931-212-7227