MEDICARE: MADISON GRACE COOK

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	2797	TN

General Provider Information

NPI Number	:	1487506192
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MADISON GRACE COOK

Provider Business Mailing Address
First Line	:	822 MERIDIAN ST
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37207-5850
Country	:	US
Telephone Number	:	615-295-8571
Fax Number	:

Provider Business Practice Location Address
First Line	:	822 MERIDIAN ST
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37207-5850
Country	:	US
Telephone Number	:	615-295-8571
Fax Number	:

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

Provider Enumeration Date	:	02/13/2026
Last Update Date	:	02/13/2026

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Directions to “ MADISON GRACE COOK ” Practice Location

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