Provider Demographics
NPI:1356934624
Name:TENNESSEE REPRODUCTIVE THERAPY LLC
Entity type:Organization
Organization Name:TENNESSEE REPRODUCTIVE THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CATHERINE
Authorized Official - Middle Name:ANNE
Authorized Official - Last Name:QUILLET
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:615-861-9706
Mailing Address - Street 1:2323 DEWEY DR
Mailing Address - Street 2:
Mailing Address - City:SPRING HILL
Mailing Address - State:TN
Mailing Address - Zip Code:37174-8579
Mailing Address - Country:US
Mailing Address - Phone:419-906-0433
Mailing Address - Fax:
Practice Address - Street 1:1604 WESTGATE CIR
Practice Address - Street 2:
Practice Address - City:BRENTWOOD
Practice Address - State:TN
Practice Address - Zip Code:37027-1300
Practice Address - Country:US
Practice Address - Phone:615-861-9706
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-17
Last Update Date:2023-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty