=====================================================
General NPI Number Information
=====================================================
NPI Number | 1922988310
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ONE LOVE THERAPY
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/05/2025
-----------------------------------------------------
Last Update Date | 09/05/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1107 WOODALL RD
-----------------------------------------------------
City | LEBANON
-----------------------------------------------------
State | TN
-----------------------------------------------------
Zip | 37090-6423
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 615-669-8053
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 651 S MOUNT JULIET RD # 607
-----------------------------------------------------
City | MOUNT JULIET
-----------------------------------------------------
State | TN
-----------------------------------------------------
Zip | 37122-6319
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 615-669-8053
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OTR/L
-----------------------------------------------------
Name | JILL LINDLEY
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 662-587-4096
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 225X00000X
-----------------------------------------------------
Taxonomy Name | Occupational Therapist
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------