Conley, Jessica Samford

Conley, Jessica Samford is an sole proprietor health care provider with primary practice located at 713 W Main St Suite 100, Hendersonville TN 37075-2150. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Conley, Jessica Samford can be contacted via phone (615) 415-2212.

Contact Information

Primary practice address
713 W Main St Suite 100 Hendersonville TN 37075-2150
Phone: (615) 415-2212
Fax: (866) 867-4298
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 2173 Tennessee

Profile Details

NPI number 1386804862
LBN Legal business name Conley, Jessica Samford
Credentials LPC - MHSP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 10th, 2008
Last updated Aug 3rd, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386804862 NPPES
Tennessee Other 2173 LPC- MHSP LIC #
Tennessee Other 12069176 LPC- MHSP LIC #

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