Provider Demographics
NPI:1598558348
Name:TSCHETTER-GAUS, SOPHIE DEE
Entity type:Individual
Prefix:
First Name:SOPHIE
Middle Name:DEE
Last Name:TSCHETTER-GAUS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1405 GOODNIGHT CT
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37207-1425
Mailing Address - Country:US
Mailing Address - Phone:404-457-9011
Mailing Address - Fax:
Practice Address - Street 1:7146 NOLENSVILLE RD STE 201
Practice Address - Street 2:
Practice Address - City:NOLENSVILLE
Practice Address - State:TN
Practice Address - Zip Code:37135-9616
Practice Address - Country:US
Practice Address - Phone:615-283-6150
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-26
Last Update Date:2025-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNRBT-22-248045106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician