MR. LOUIS WADSWORTH MATTIS II (NPI# 1528567476) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528567476 |
| Entity Type | Individual |
| Full Name | MR. LOUIS WADSWORTH MATTIS II |
| Credential | LMFT |
| Practice Address |
9045 Forest Centre Dr Ste 102 Germantown TN 38138-7857 |
| Practice Telephone | 9017565788 |
| Mailing Telephone | 9017565788 |
| Enumeration Date | 2018-02-06 |
| Last Update Date | 2018-02-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | 1279 | TN | Behavioral Health & Social Service Providers |
| Street Address |
9045 FOREST CENTRE DR STE 102 |
| City | GERMANTOWN |
| State | TN |
| Zip Code | 38138-7857 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952811010 | Select | Counselor | 9045 Forest Centre Dr Ste 102, Germantown, TN 38138 | 2017-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790382281 | Bluff Medical Group | Nurse Practitioner | 1779 Kirby Parkway, Suite 1-212, Germantown, TN 38138 | 2020-10-07 |
| 1689293797 | Diana Bryn Manning | Dietitian, Registered | 7705 Poplar Ave., Medical Office B, Suite 150, Germantown, TN 38138 | 2020-04-09 |
| 1386102796 | Moscow Group LLC | Pharmacy | 2013 Exeter Rd, Germantown, TN 38138 | 2019-03-05 |
| 1033638994 | 901 Physical Therapy, Pllc | Physical Therapist | 2495 Regents Walk, Germantown, TN 38138 | 2017-09-12 |
| 1124552401 | Elite Dental Germantown Plc | Dentist | 9064 Corporate Gradens Drive, Germantown, TN 38138 | 2017-04-13 |
| 1740728880 | Christian C Haynes | Nurse Anesthetist, Certified Registered | 1900 Exeter Rd., Suite 210, Germantown, TN 38138 | 2017-02-09 |
| 1740644004 | Kimberly Brooke Scheidegger | Counselor | 9045 Forest Centre Way, Heartlife Professional Soul Care, Germantown, TN 38138 | 2016-04-12 |
| 1427411644 | Jimmy Tam Tran | Internal Medicine | 7550 Wolf River Blvd., Ste. 102, Germantown, TN 38138 | 2016-04-04 |
| 1952761876 | Jane Chin Wynn Yeoh | Orthopaedic Surgery | 1400 South Germantown Road, Germantown, TN 38138 | 2016-03-04 |
| 1295104636 | Carrie Ariane Zonta | Physical Therapy Assistant | 1789 Kirby Whitten Parkway Suite 3, Memphis, TN 38138 | 2015-09-16 |
| Find all providers in zip 38138 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508348731 | Gloria Rachel Joffe | Marriage & Family Therapist | 8570 Cordes Cir Ste 12, Germantown, TN 38139-3341 | 2018-09-04 |
| 1538311725 | Sharon P Clarke | Marriage & Family Therapist | 13827 Bronco Pl, Germantown, MD 20874-6150 | 2008-10-21 |
| 1194980896 | Stareen Troeger | Marriage & Family Therapist | W177n9856 Rivercrest Dr Ste 251, Germantown, WI 53022-4612 | 2008-07-22 |
| 1285842120 | Patricia Sue Millikin | Marriage & Family Therapist | 8590 Farmington Blvd Ste 3, Germantown, TN 38139-3344 | 2007-05-21 |
| 1750859062 | Elizabeth Dakelman Balog | Marriage & Family Therapist | 11690 Neelsville Church Rd, Germantown, MD 20876-4127 | 2018-11-05 |
| 1467857722 | Juan Diaz | Marriage & Family Therapist | W175n11120 Stonewood Dr, Germantown, WI 53022-6511 | 2014-10-29 |
| 1659612521 | Rachel Chazen | Marriage & Family Therapist | 20400 Observation Dr Ste 103, Germantown, MD 20874 | 2013-03-02 |
| 1922347350 | Tracie Strucker | Marriage & Family Therapist | 13240 Executive Park Ter, Germantown, MD 20874-2640 | 2013-02-05 |
| 1063618221 | Linda Sue Peterson | Marriage & Family Therapist | 18 Executive Park Ct, Germantown, MD 20874-2645 | 2007-06-25 |
| 1497872568 | Darlene Beckley Wareham | Marriage & Family Therapist | W177n9856 Rivercrest Dr, Suite 251, Germantown, WI 53022-4612 | 2007-03-23 |
| Find all providers in GERMANTOWN | ||||
| City | GERMANTOWN |
| Zip Code | 38138 |
Please comment or provide details below to improve the information on MR. LOUIS WADSWORTH MATTIS II.
| 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.