KELLY MARIE BOURQUE (NPI# 1033762844) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033762844 |
| Entity Type | Individual |
| Full Name | KELLY MARIE BOURQUE |
| Credential | LMFT |
| Practice Address |
108 4th Ave S Ste 205 Franklin TN 37064-2676 |
| Mailing Address |
109 Lanes End Dr Franklin TN 37067-5101 |
| Practice Telephone | 6155942830 |
| Mailing Telephone | 6155942830 |
| Enumeration Date | 2019-07-20 |
| Last Update Date | 2019-07-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
769 | TN | Behavioral Health & Social Service Providers |
| Street Address |
108 4TH AVE S STE 205 |
| City | FRANKLIN |
| State | TN |
| Zip Code | 37064-2676 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346852654 | Tanya Watson | Pharmacist | 1451 New Hwy 96 W, Franklin, TN 37064 | 2020-08-18 |
| 1629639547 | Anthony Porter Owens | Counselor | 382 Natchez St, Franklin, TN 37064 | 2019-06-21 |
| 1124589130 | Erica Lee Gentry | Social Worker | 125 Brevet Dr, Franklin, TN 37064 | 2019-03-31 |
| 1497225064 | Corbett Hinkle | Counselor | 1224 B Columbia Ave Suite 100, Franklin, TN 37064 | 2018-11-27 |
| 1477048148 | Robert Gurich | Counselor | 1325 W Main St Ste B, Franklin, TN 37064 | 2018-06-26 |
| 1649765553 | Tucker's House | Contractor | 201 Beasley Drive Unit G, Franklin, TN 37064 | 2018-06-25 |
| 1245775386 | Kathryn Mccaffrey Crabtree | Pharmacist | 5021 Hughes Crossings Boulevard, Franklin, TN 37064 | 2016-12-28 |
| 1437510146 | Jeffrey Bryce Farr | Dentist | Noba 509 New Hwy 96, Suite 100, Franklin, TN 37064 | 2016-03-09 |
| 1215307137 | Amanda Nicole Stacey | Occupational Therapist | 870 Oak Meadow Dr, Franklin, TN 37064 | 2015-10-05 |
| 1982083796 | Olivia Ellis | Social Worker | 1113 Murfreesboro Rd #202, Nashville, TN 37064 | 2015-05-26 |
| Find all providers in zip 37064 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316566581 | Garapha Mezidor | Counselor | 2 Master Dr, Franklin, MA 02038-3052 | 2020-04-08 |
| 1275161465 | Jill Campbell Flowers | Counselor | Cool Springs Psychiatric Group, 354 Cool Springs Boulevard, Suite 105, Franklin, TN 37067 | 2020-04-01 |
| 1689209181 | With You Counseling Services, LLC | Counselor | 323 13th St, Franklin, PA 16323-1304 | 2020-03-05 |
| 1023656857 | Kristine Stanfield | Counselor | 504 Autumn Springs Ct Ste 4, Franklin, TN 37067-8278 | 2019-12-11 |
| 1427602093 | Jvb Counseling Inc | Counselor | 16 Cottage St Ste 3, Franklin, MA 02038-2250 | 2019-07-31 |
| 1629639547 | Anthony Porter Owens | Counselor | 382 Natchez St, Franklin, TN 37064 | 2019-06-21 |
| 1386202943 | Seana Vernelson | Counselor | 133 E Palmer St Ste 20120, Franklin, NC 28734-3040 | 2019-05-30 |
| 1467913798 | Lora Carpenter | Counselor | 7851 Kaye Dr, Franklin, OH 45005-3825 | 2019-03-28 |
| 1639638091 | Barbara Wyer | Counselor | 109 Holiday Ct Ste 6, Franklin, TN 37067-3000 | 2019-03-15 |
| 1265910699 | Carolyn Mary Kutsko | Counselor | 320 Bobby Dr, Franklin, TN 37069-6444 | 2018-07-28 |
| Find all providers in FRANKLIN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.