MEDICARE: HALEIGH BROOKE DOTSON LMSW

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	104100000X	Social Worker	14737	TN

General Provider Information

NPI Number	:	1558193631
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HALEIGH BROOKE DOTSON LMSW

Provider Business Mailing Address
First Line	:	1000 ARTESSA CIR APT 1202
Second Line	:
City	:	FRANKLIN
State	:	TN
Zip	:	37067-2516
Country	:	US
Telephone Number	:	615-854-1476
Fax Number	:

Provider Business Practice Location Address
First Line	:	5217 MARYLAND WAY
Second Line	:
City	:	BRENTWOOD
State	:	TN
Zip	:	37027-1400
Country	:	US
Telephone Number	:	615-882-1792
Fax Number	:

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

Provider Enumeration Date	:	08/16/2024
Last Update Date	:	08/16/2024

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Directions to “ HALEIGH BROOKE DOTSON LMSW” Practice Location

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