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General NPI Number Information
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NPI Number | 1144039462
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Entity Type | Organization
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Legal Business Name | RED CEDAR PSYCHOTHERAPY, PLLC
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Dates
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Enumeration Date | 01/01/2025
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Last Update Date | 08/15/2026
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Provider Practice Location Address
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Address Line | 240 MAYFIELD DR STE 206
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City | SMYRNA
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State | TN
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Zip | 37167-3026
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Country | US
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Telephone | 615-994-1314
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Fax | 615-909-4450
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Provider Business Mailing Address
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Address Line | 240 MAYFIELD DR STE 206
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City | SMYRNA
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State | TN
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Zip | 37167-3026
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Country | US
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Telephone | 615-994-1314
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Fax | 615-909-4450
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Authorized Official
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Title or Position | OWNER
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Name | CRYSTAL RENEE' OWENS
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Credential | LPC-MHSP
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Telephone | 615-994-1314
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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