Pho Llc | |
100 Winners Cir N Ste 120 Brentwood TN 37027-5012 | |
(205) 504-1587 | |
Not Available |
Full Name | Pho Llc |
---|---|
Speciality | Clinic/center - Adult Mental Health |
Location | 100 Winners Cir N Ste 120, Brentwood, Tennessee |
Authorized Official Name and Position | Patrice Helene Hinton Oswalt (LPC MHSP) |
Authorized Official Contact | 2055041587 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Pho Llc 6069 Frontier Ln Nashville TN 37211-6220 Ph: (205) 504-1587 | Pho Llc 100 Winners Cir N Ste 120 Brentwood TN 37027-5012 Ph: (205) 504-1587 |
NPI Number | 1407341753 |
---|---|
Provider Enumeration Date | 06/28/2018 |
Last Update Date | 06/28/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1407341753 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0850X | Clinic/center - Adult Mental Health | MH15135 (Florida) | Primary |
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› Verified 7 days ago
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