Healthcare Provider Details

I. General information

NPI: 1699680611
Provider Name (Legal Business Name): REBECCA MASSEY M.ED.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/14/2026
Last Update Date: 08/16/2026
Certification Date: 08/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

240 MAYFIELD DR STE 206
SMYRNA TN
37167-3026
US

IV. Provider business mailing address

240 MAYFIELD DR STE 206
SMYRNA TN
37167-3026
US

V. Phone/Fax

Practice location:
  • Phone: 615-994-1314
  • Fax:
Mailing address:
  • Phone: 615-994-1314
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: