Provider Demographics
NPI:1730445362
Name:RATIONAL TRAINING AND COUNSELING ASSOCIATS
Entity type:Organization
Organization Name:RATIONAL TRAINING AND COUNSELING ASSOCIATS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:CLYDE
Authorized Official - Middle Name:A
Authorized Official - Last Name:POAG
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:616-308-1162
Mailing Address - Street 1:P.O BOX 564
Mailing Address - Street 2:
Mailing Address - City:ANTIOCH
Mailing Address - State:TN
Mailing Address - Zip Code:37011
Mailing Address - Country:US
Mailing Address - Phone:616-308-1162
Mailing Address - Fax:
Practice Address - Street 1:4525 HARDING PIKE STE 200
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37205-2154
Practice Address - Country:US
Practice Address - Phone:615-823-3955
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-09
Last Update Date:2014-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN56181041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty