Healthcare Provider Details

I. General information

NPI: 1598328999
Provider Name (Legal Business Name): ELIZABETH ZAGATTA-ALLISON LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/21/2019
Last Update Date: 04/22/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1105 17TH AVE S
NASHVILLE TN
37212-2203
US

IV. Provider business mailing address

1105 17TH AVE S
NASHVILLE TN
37212-2203
US

V. Phone/Fax

Practice location:
  • Phone: 615-601-2076
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number1203
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: