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General NPI Number Information
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NPI Number | 1235506353
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Entity Type | Organization
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Legal Business Name | TAPESTRIES COUNSELING & ASSESSMENT, INC.
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Dates
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Enumeration Date | 08/24/2015
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Last Update Date | 05/05/2016
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Provider Practice Location Address
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Address Line | 1104 TUSCULUM BLVD STE 215
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City | GREENEVILLE
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State | TN
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Zip | 37745-4091
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Country | US
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Telephone | 423-783-7995
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Fax |
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Provider Business Mailing Address
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Address Line | 1104 TUSCULUM BLVD STE 215
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City | GREENEVILLE
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State | TN
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Zip | 37745-4091
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Country | US
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Telephone | 423-783-7995
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Fax |
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Authorized Official
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Title or Position | PSYCHOLOGIST
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Name | DR. HEATHER COLLEEN GOW
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Credential | PSY.D.
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Telephone | 423-783-7995
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | P0000002836
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License Number State | TN
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