MEDICARE: MS. LAUREN GAYE MUNN L.C.S.W

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	LSW0000004692	TN

General Provider Information

NPI Number	:	1649308354
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. LAUREN GAYE MUNN L.C.S.W

Provider Business Mailing Address
First Line	:	1736 FORSYTHE PARK DR
Second Line	:
City	:	BRENTWOOD
State	:	TN
Zip	:	37027-8070
Country	:	US
Telephone Number	:	615-661-0526
Fax Number	:

Provider Business Practice Location Address
First Line	:	2400 WHITE AVE
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37204-2235
Country	:	US
Telephone Number	:	615-460-4147
Fax Number	:	615-460-4202

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

Provider Enumeration Date	:	03/02/2007
Last Update Date	:	08/16/2023

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