NPI: 1285047530 · MADISON, TN 37115 · Mental Health Counselor · NPI assigned 06/04/2014
| Authorized Official | PETTY, TRISTAN (OWNER) |
| NPI Enumeration Date | 06/04/2014 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 171 | $15K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90837 | 171 | 59 | $15K |