Petty, Tristan K
Petty, Tristan K is an sole proprietor health care provider with primary practice located at 607 W Due West Ave Ste 106 , Madison TN 37115-4420. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Petty, Tristan K can be contacted via phone (615) 964-7113.Contact Information
Primary practice address
607 W Due West Ave Ste 106
Madison TN 37115-4420
Phone: (615) 964-7113
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 3077 | Tennessee |
Profile Details
| NPI number | 1659782647 |
|---|---|
| LBN Legal business name | Petty, Tristan K |
| Credentials | LPC/MHSP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 13th, 2014 |
| Last updated | Jan 16th, 2020 - about 5 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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