Stable Space Trauma and Equine Therapy

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

STABLE SPACE TRAUMA AND EQUINE THERAPY

Practice address

9580 S Lick Creek Rd
Lyles, TN 37098-3015

Phone

(615) 295-6889

NPI assigned

Jul 16, 2025

Last updated

Jul 16, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Rachel Ann Scott, LPC-MHSPNPI 1336035088

Title

Therapist

Phone

(615) 295-6889

Specialties & licenses 4

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Rachel A Scott, LPC-MHSP

  • Professional Counselor
  • Lyles, TN
  • NPI 1336035088
  NPD Authorized official

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

{
    "created_epoch": "1752624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752624000000",
    "number": "1366334146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9580 S LICK CREEK RD",
            "city": "LYLES",
            "state": "TN",
            "postal_code": "370983015",
            "telephone_number": "615-295-6889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9580 S LICK CREEK RD",
            "city": "LYLES",
            "state": "TN",
            "postal_code": "370983015",
            "telephone_number": "615-295-6889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STABLE SPACE TRAUMA AND EQUINE THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-16",
        "last_updated": "2025-07-16",
        "certification_date": "2025-07-16",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "615-295-6889",
        "authorized_official_credential": "LPC-MHSP"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carolyn Yvonne Pulley, NURSE PRACTITIONER,
• Rachel A Scott, LPC-MHSP
• Cassie A Semore
• Martha Jane Shepard, D.PH.
• Sole Supports, Inc.
• Joseph B Sweat, NP-C
• Sherry Lynn Tidwell, FNP-BC

• Mental Health Clinic/Center (Including Community Mental Health Center) in Lyles, TN
• Providers in Lyles, TN by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2025; 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.