MEDICARE: SCARLETT M FORD-BRIGHT M.A.

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	101YM0800X	Mental Health Counselor		TN
2	101YM0800X	Mental Health Counselor
3	101YP2500X	Professional Counselor	3982	TN

General Provider Information

NPI Number	:	1871927830
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SCARLETT M FORD-BRIGHT M.A.

Provider Business Mailing Address
First Line	:	106 MISSION CT STE 202
Second Line	:
City	:	FRANKLIN
State	:	TN
Zip	:	37067-6441
Country	:	US
Telephone Number	:	615-513-1875
Fax Number	:	615-327-4536

Provider Business Practice Location Address
First Line	:	106 MISSION CT STE 202
Second Line	:
City	:	FRANKLIN
State	:	TN
Zip	:	37067-6441
Country	:	US
Telephone Number	:	615-513-1875
Fax Number	:	615-327-4536

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

Provider Enumeration Date	:	08/27/2013
Last Update Date	:	09/21/2020

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