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CENTER FOR TRAUMA RECOVERY AND RESOLUTION NPI 1346007564


NPI Information

NPI: 1346007564
Provider Name: CENTER FOR TRAUMA RECOVERY AND RESOLUTION
Classification: Psychologist - 103TH0100X
Entity Type: Organization

Specialization: Health Service

Address:
1077 WATERMARK WAY
MOUNT JULIET, TN
ZIP 37122
Phone: (615) 669-0508
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CENTER FOR TRAUMA RECOVERY AND RESOLUTION is a health service psychologist in Mount Juliet, TN. The provider is a psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974). CENTER FOR TRAUMA RECOVERY AND RESOLUTION NPI is 1346007564. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1077 WATERMARK WAY
MOUNT JULIET, TN
ZIP 37122-101
Phone: (615) 669-0508

The provider's authorized official is Laura Anderson .
The authorized official title is Ceo and has the following contact phone number (615) 669-0508.

The enumeration date for this NPI number is 3/4/2024 and was last updated on 3/4/2024.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103TH0100XPsychologistHealth ServiceYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.