MEDICARE: REBECA MOLINA

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	106H00000X	Marriage & Family Therapist	1868	TN

General Provider Information

NPI Number	:	1235983941
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	REBECA MOLINA

Provider Business Mailing Address
First Line	:	570 CHURCH ST E APT 909
Second Line	:
City	:	BRENTWOOD
State	:	TN
Zip	:	37027-3938
Country	:	US
Telephone Number	:	240-440-0931
Fax Number	:

Provider Business Practice Location Address
First Line	:	5501 FRANKLIN PIKE
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37220-2115
Country	:	US
Telephone Number	:	615-383-2115
Fax Number	:

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

Provider Enumeration Date	:	04/17/2024
Last Update Date	:	04/17/2024

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Directions to “ REBECA MOLINA ” Practice Location

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