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NPI Code Detail

MEDICARE: THERAPIE, PLLC

MEDICARE: THERAPIE, PLLC
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
1101YA0400XAddiction (Substance Use Disorder) Counselor
2101YM0800XMental Health Counselor
3103T00000XPsychologist
41041C0700XClinical Social Worker
5106H00000XMarriage & Family Therapist

General Provider Information

NPI Number : 1851042410
Entity Type Code : Organization
Provider Name (Legal Business Name) : THERAPIE, PLLC
Provider Business Mailing Address
First Line : 798 COTTAGE PARK DR
Second Line :
City : NASHVILLE
State : TN
Zip : 37207-2617
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 210 25TH AVE N STE 1220
Second Line :
City : NASHVILLE
State : TN
Zip : 37203-1640
Country : US
Telephone Number : 615-544-7060
Fax Number :
Authorized Official
Title or Position : OWNER
Name : CHRISTIAN BUMPOUS
Credential :
Telephone Number : 615-544-7060
Provider Enumeration Date : 01/15/2022
Last Update Date : 01/15/2022

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