DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: GLENDA DENISE MAYNARD MMFT

MEDICARE:   GLENDA DENISE MAYNARD  MMFT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106H00000XMarriage & Family TherapistTN

General Provider Information

NPI Number : 1093689325
Entity Type Code : Individual
Provider Name (Legal Business Name) : GLENDA DENISE MAYNARD MMFT
Provider Business Mailing Address
First Line : 912 S COLLEGE ST
Second Line :
City : SMITHVILLE
State : TN
Zip : 37166-3121
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 440 PARK AVE
Second Line :
City : LEBANON
State : TN
Zip : 37087-3664
Country : US
Telephone Number : 615-449-9611
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/30/2025
Last Update Date : 09/30/2025

Similar Medicare Providers

1740228352 — APRIL BOWEN HARRISON MA, LSPE
Practice Location Address:
440 PARK AVE
LEBANON, TN
37087-3664
Practice Phone: 615-449-9611
Practice Fax: 615-453-7051
1528196268 — MRS. DONNA LEIGH RITENOUR M.A., S.L.P.E.
Practice Location Address:
440 PARK AVE
LEBANON, TN
37087-3664
Practice Phone: 615-449-9611
Practice Fax: 615-453-7051
1609198217 — MR. CHAD M HUGHES LPC MHSP
Practice Location Address:
440 PARK AVE
LEBANON, TN
37087-3664
Practice Phone: 615-449-9611
Practice Fax: 615-453-7051
1588944581 — LAUREN ELIZABETH KELLY
Practice Location Address:
440 PARK AVE
LEBANON, TN
37087-3664
Practice Phone: 615-419-3224
Practice Fax:
1215468467 — HENDRICK COUNSELING SERVICES, INC
Practice Location Address:
440 PARK AVE
LEBANON, TN
37087-3664
Practice Phone: 615-449-9611
Practice Fax: 615-453-7051
1518822915 — KAELI NICOLE BANAS
Practice Location Address:
440 PARK AVE
LEBANON, TN
37087-3664
Practice Phone: 615-449-9611
Practice Fax: 615-453-7051

Directions to “ GLENDA DENISE MAYNARD MMFT” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.