MEDICARE: MRS. HELEN M TARLETON LCSW

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	1041C0700X	Clinical Social Worker	4818	TN

General Provider Information

NPI Number	:	1447304761
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. HELEN M TARLETON LCSW

Provider Business Mailing Address
First Line	:	7135 OLD HICKORY BLVD
Second Line	:
City	:	WHITES CREEK
State	:	TN
Zip	:	37189-9160
Country	:	US
Telephone Number	:	615-415-5614
Fax Number	:

Provider Business Practice Location Address
First Line	:	210 25TH AVE N
Second Line	:	SUITE 500
City	:	NASHVILLE
State	:	TN
Zip	:	37203-1606
Country	:	US
Telephone Number	:	615-415-5614
Fax Number	:

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

Provider Enumeration Date	:	01/23/2007
Last Update Date	:	07/08/2007

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