Healthcare Provider Details

I. General information

NPI: 1487559563
Provider Name (Legal Business Name): WR BEHAVIORAL HEALTH PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/09/2026
Last Update Date: 10/09/2026
Certification Date: 10/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2615 MEDICAL CENTER PKWY STE 1560
MURFREESBORO TN
37129-3758
US

IV. Provider business mailing address

2615 MEDICAL CENTER PKWY STE 1560 STE 1560
MURFREESBORO TN
37129-3758
US

V. Phone/Fax

Practice location:
  • Phone: 931-801-5020
  • Fax:
Mailing address:
  • Phone: 931-801-5020
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number StateNULL

VIII. Authorized Official

Name: TIFFINEA REID-JOHNSON
Title or Position: CEO
Credential: LCSW
Phone: 931-801-5020