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General NPI Number Information
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NPI Number | 1548185754
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Entity Type | Organization
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Legal Business Name | PALM GROVE THERAPY, PLLC
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Dates
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Enumeration Date | 08/13/2026
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Last Update Date | 08/13/2026
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Provider Practice Location Address
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Address Line | 4115 MALLORY LN
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City | FRANKLIN
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State | TN
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Zip | 37067-2906
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Country | US
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Telephone | 423-400-0112
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Fax |
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Provider Business Mailing Address
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Address Line | 1235 SPRUELL DR
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City | NOLENSVILLE
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State | TN
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Zip | 37135-2990
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Country | US
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Telephone | 423-400-0112
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MS. MARY KATHERINE ANTHONY
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Credential | LMFT
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Telephone | 423-400-0112
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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