Provider Demographics
NPI:1578308466
Name:EMILY ST. AMANT COUNSELING, PLLC
Entity type:Organization
Organization Name:EMILY ST. AMANT COUNSELING, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:EMILY
Authorized Official - Middle Name:JOYCE
Authorized Official - Last Name:ST.AMANT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-212-9057
Mailing Address - Street 1:919 TINY TOWN RD
Mailing Address - Street 2:STE B PMB 1005
Mailing Address - City:CLARKSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37042
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:5600 COUNTY DR.
Practice Address - Street 2:APT 154
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37211
Practice Address - Country:US
Practice Address - Phone:615-212-9057
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-01
Last Update Date:2024-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty