Healthcare Provider Details

I. General information

NPI: 1669344917
Provider Name (Legal Business Name): AMY LE ANNE ZULEWSKI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/18/2025
Last Update Date: 06/19/2026
Certification Date: 06/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

250 CUMBERLAND BND
NASHVILLE TN
37228-1804
US

IV. Provider business mailing address

1637 RACHEL WAY
OLD HICKORY TN
37138-1977
US

V. Phone/Fax

Practice location:
  • Phone: 615-743-1555
  • Fax:
Mailing address:
  • Phone: 615-743-1555
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number6949
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: