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NPI 1316251259

NPI 1316251259 : HEATHER A OLSON L.C.S.W. : BRENTWOOD, TN

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General NPI Number Information
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    NPI Number           |    1316251259
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    Entity Type          |    Individual 
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    Provider Name        |    HEATHER A OLSON L.C.S.W.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    08/03/2010
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    Last Update Date     |    08/28/2024
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Provider Practice Location Address
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    Address Line         |    9020 OVERLOOK BLVD STE 130 
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    City                 |    BRENTWOOD
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    State                |    TN
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    Zip                  |    37027-3259
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    Country              |    US
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    Telephone            |    865-588-3173
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2400 WHITE AVE 
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    City                 |    NASHVILLE
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    State                |    TN
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    Zip                  |    37204-2235
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    Country              |    US
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    Telephone            |    615-460-2400
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    1041C0700X
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    Taxonomy Name        |    Clinical Social Worker
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    License Number       |    LSW4841
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    License Number State |    TN
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