Organization Active NPI

Lifeworks Counseling Center

Doing business as Long Hollow Baptist Church

  • Marriage & Family Therapist
  • Gallatin, TN
National Provider Identifier
1326304387
Registry record updated Apr 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMT0000000816 Issued in TN
Legal business name
LIFEWORKS COUNSELING CENTER
Doing business as
Long Hollow Baptist Church
Practice address
1181 Nashville Pike
Gallatin, TN 37066-3165
Phone
(615) 829-8018
Fax
(615) 824-4506
NPI assigned
Apr 4, 2012
Last updated
Apr 4, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Ralph Douglas Cook, LMFT
Title
Clinical Director
Phone
(615) 829-8018

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X LCSW0000004954 TN
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X LMT0000000816 TN Primary

Addresses

Primary practice location

1181 Nashville Pike
Gallatin, TN 37066-3165

Mailing address

1181 Nashville Pike
Gallatin, TN 37066-3165
Phone (615) 829-8018

Other names 1

  • Long Hollow Baptist Church Doing business as

National Provider Directory

National Provider Directory

Locations

1181 Nashville Pike
Gallatin, TN 37066
Phone (615) 206-8004

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1333497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333497600000",
    "number": "1326304387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1181 NASHVILLE PIKE",
            "city": "GALLATIN",
            "state": "TN",
            "postal_code": "370663165",
            "telephone_number": "615-829-8018",
            "fax_number": "615-824-4506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1181 NASHVILLE PIKE",
            "city": "GALLATIN",
            "state": "TN",
            "postal_code": "370663165",
            "telephone_number": "615-829-8018",
            "fax_number": "615-824-4506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFEWORKS COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-04",
        "last_updated": "2012-04-04",
        "status": "A",
        "authorized_official_last_name": "COOK",
        "authorized_official_first_name": "RALPH",
        "authorized_official_middle_name": "DOUGLAS",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "615-829-8018",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "LCSW0000004954",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "TN",
            "license": "LMT0000000816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Long Hollow Baptist Church",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gallatin, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.