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General NPI Number Information
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NPI Number | 1447532205
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Entity Type | Organization
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Legal Business Name | TT & S FAMILY FOUNDATION INC
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Dates
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Enumeration Date | 09/16/2011
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Last Update Date | 06/04/2013
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Provider Practice Location Address
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Address Line | 319 PLUS PARK BLVD
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City | NASHVILLE
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State | TN
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Zip | 37217-1098
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Country | US
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Telephone | 615-915-4074
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Fax | 615-942-6342
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Provider Business Mailing Address
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Address Line | PO BOX 132
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City | OLD HICKORY
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State | TN
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Zip | 37138-0132
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Country | US
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Telephone | 615-915-4074
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Fax | 615-942-6392
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Authorized Official
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Title or Position | LPC-MHSP
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Name | MS. THELMA DEES-JOHNSON
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Credential |
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Telephone | 61591504074
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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 | 2111
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 3847
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License Number State | TN
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Taxonomy #3
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 2111
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License Number State | TN
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Taxonomy #4
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 2111
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License Number State | TN
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