Provider Demographics
NPI:1902664535
Name:RAINTREE COUNSELING PLLC
Entity Type:Organization
Organization Name:RAINTREE COUNSELING PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BELINDA
Authorized Official - Middle Name:CHERYL
Authorized Official - Last Name:FANNING
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:931-213-5300
Mailing Address - Street 1:120 CENTER POINTE DR STE 1
Mailing Address - Street 2:
Mailing Address - City:CLARKSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37040-1632
Mailing Address - Country:US
Mailing Address - Phone:931-213-5300
Mailing Address - Fax:423-565-0149
Practice Address - Street 1:120 CENTER POINTE DR STE 1
Practice Address - Street 2:
Practice Address - City:CLARKSVILLE
Practice Address - State:TN
Practice Address - Zip Code:37040-1632
Practice Address - Country:US
Practice Address - Phone:931-213-5300
Practice Address - Fax:423-565-0149
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-08
Last Update Date:2024-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty