Provider Demographics
NPI:1548976426
Name:GULLAHORN, JILL PHILLIPS (LMFT)
Entity type:Individual
Prefix:MRS
First Name:JILL
Middle Name:PHILLIPS
Last Name:GULLAHORN
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2821 ERICA PL
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37204-3111
Mailing Address - Country:US
Mailing Address - Phone:615-592-5006
Mailing Address - Fax:
Practice Address - Street 1:2821 ERICA PL
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37204-3111
Practice Address - Country:US
Practice Address - Phone:615-592-5006
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-25
Last Update Date:2023-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN1692106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist