Active NPI
Lifeworks Counseling Center
Doing business as Long Hollow Baptist Church
- Marriage & Family Therapist
- Gallatin, TN
National Provider Identifier
1326304387
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- LMT0000000816
- 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, 2012
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCSW0000004954 | TN | |
| Marriage & Family Therapist | 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
National Provider Directory
National Provider DirectoryLocations
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.