Provider Demographics
NPI:1144499815
Name:A CENTER FOR COUNSLEING, PLLC
Entity type:Organization
Organization Name:A CENTER FOR COUNSLEING, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:VALLI
Authorized Official - Middle Name:
Authorized Official - Last Name:VAN ERON
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:615-467-6333
Mailing Address - Street 1:1616 WESTGATE CIR
Mailing Address - Street 2:107
Mailing Address - City:BRENTWOOD
Mailing Address - State:TN
Mailing Address - Zip Code:37027-8019
Mailing Address - Country:US
Mailing Address - Phone:615-467-6333
Mailing Address - Fax:615-844-6201
Practice Address - Street 1:1616 WESTGATE CIR
Practice Address - Street 2:107
Practice Address - City:BRENTWOOD
Practice Address - State:TN
Practice Address - Zip Code:37027-8019
Practice Address - Country:US
Practice Address - Phone:615-467-6333
Practice Address - Fax:615-844-6201
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-26
Last Update Date:2008-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN0000613251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health