MEDICARE: ROBERT BRINT FITZPATRICK II LPC-MHSP

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
1	101YP2500X	Professional Counselor	4071	TN

General Provider Information

NPI Number	:	1144522616
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBERT BRINT FITZPATRICK II LPC-MHSP

Provider Business Mailing Address
First Line	:	179 ROYAL OAKS BLVD APT B3
Second Line	:
City	:	FRANKLIN
State	:	TN
Zip	:	37067-3066
Country	:	US
Telephone Number	:	615-981-3261
Fax Number	:

Provider Business Practice Location Address
First Line	:	103 FORREST CROSSING BLVD STE 102
Second Line	:
City	:	FRANKLIN
State	:	TN
Zip	:	37064-5454
Country	:	US
Telephone Number	:	615-981-3261
Fax Number	:	615-591-5263

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/03/2010
Last Update Date	:	07/05/2019

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