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General NPI Number Information
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NPI Number | 1184060139
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Entity Type | Organization
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Legal Business Name | NEW DIRECTIONS WELLNESS CENTER
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Dates
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Enumeration Date | 05/17/2013
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Last Update Date | 12/04/2024
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Provider Practice Location Address
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Address Line | 404 BNA DRIVE SUITE 110
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City | NASHVILLE
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State | TN
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Zip | 37217
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Country | US
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Telephone | 615-942-5002
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Fax | 615-777-6630
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Provider Business Mailing Address
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Address Line | 1101 KERMIT DR STE 511
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City | NASHVILLE
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State | TN
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Zip | 37217-5110
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Country | US
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Telephone | 615-601-0580
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Fax | 615-777-6630
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Authorized Official
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Title or Position | OWNER
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Name | MR. JOHNATHAN JOHNSON, LPC/MHSP
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Credential | LPC/MHSP
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Telephone | 615-601-0580
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 2098
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License Number State | TN
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