MEDICARE: MS. DENISE MARIE MARTIN LPC

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	101YP2500X	Professional Counselor	37PC00864800	NJ

General Provider Information

NPI Number	:	1760081442
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. DENISE MARIE MARTIN LPC

Provider Business Mailing Address
First Line	:	2319 ERIN LN
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37221-2233
Country	:	US
Telephone Number	:	917-881-3444
Fax Number	:

Provider Business Practice Location Address
First Line	:	2319 ERIN LN
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37221-2233
Country	:	US
Telephone Number	:	917-881-3444
Fax Number	:

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

Provider Enumeration Date	:	10/22/2020
Last Update Date	:	09/11/2025

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