Provider Demographics
NPI:1164259313
Name:WHITE, DAWN MARIE (TLMFT)
Entity type:Individual
Prefix:
First Name:DAWN
Middle Name:MARIE
Last Name:WHITE
Suffix:
Gender:F
Credentials:TLMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:203 COREY DR
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37067-1342
Mailing Address - Country:US
Mailing Address - Phone:615-202-9917
Mailing Address - Fax:
Practice Address - Street 1:134 FRIERSON ST
Practice Address - Street 2:
Practice Address - City:BRENTWOOD
Practice Address - State:TN
Practice Address - Zip Code:37027-4603
Practice Address - Country:US
Practice Address - Phone:615-274-9048
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-19
Last Update Date:2024-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN2562106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist