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Your Tennessee Counselor, Pllc
Adolescent and Children Mental Health Clinic/Center in Collierville, Tennessee
NPI 1669104311

Your Tennessee Counselor, Pllc is an Adolescent and Children Mental Health Clinic/Center based in Rossville, TN and is specialized in Adolescent and Children Mental Health. Your Tennessee Counselor, Pllc practices in Collierville, TN. The NPI Number for Your Tennessee Counselor, Pllc is 1669104311 and holds a License No. (Tennessee).

The current practice location address for Your Tennessee Counselor, Pllc is 109 E South St, Collierville, TN and can be reached out via phone at 901-647-0540.

Location: 109 E South St, Collierville, TN, 38066-1505
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1669104311
Provider Name
Your Tennessee Counselor, Pllc
Credential
Provider Entity Type
Organization
Address
109 E South St, Collierville, TN, 38066-1505
Phone Number
901-647-0540
Fax Number
Provider Enumeration Date
06/29/2022
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
109 E South St
City
Collierville
State
Tennessee
Zip
38017-3018
Phone Number
901-647-0540
Fax Number
person
Provider Business Mailing Address Details
Address
109 E South St
City
Collierville
State
Tennessee
Zip
38017-3018
Phone Number
901-647-0540
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
261QM0801X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
261QM0855X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
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