MEDICARE: PRUSINSKI THERAPY

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	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1477482081
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PRUSINSKI THERAPY

Provider Business Mailing Address
First Line	:	1127 TUCKAHOE DR
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37207-1640
Country	:	US
Telephone Number	:	310-266-5044
Fax Number	:

Provider Business Practice Location Address
First Line	:	412 GALLATIN PIKE S
Second Line	:
City	:	MADISON
State	:	TN
Zip	:	37115-4009
Country	:	US
Telephone Number	:	615-200-6281
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MELISSE MARIE PRUSINSKI
Credential	:	MS,LMFT
Telephone Number	:	310-266-5044

Provider Enumeration Date	:	05/18/2026
Last Update Date	:	05/18/2026

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Directions to “PRUSINSKI THERAPY ” Practice Location

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