Healthcare Provider Details

I. General information

NPI: 1336654730
Provider Name (Legal Business Name): COMFY COUCH COUNSELING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/06/2017
Last Update Date: 12/06/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5226 MAIN ST STE D1
SPRING HILL TN
37174-4210
US

IV. Provider business mailing address

5226 MAIN ST STE D1
SPRING HILL TN
37174-4210
US

V. Phone/Fax

Practice location:
  • Phone: 615-545-6366
  • Fax:
Mailing address:
  • Phone: 615-545-6366
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: CASSANDRA STEINBERG
Title or Position: SOLE PROPRIETER
Credential: LPC MHSP
Phone: 615-545-6366