CHARLES BERNARD SELF (NPI# 1942415559) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942415559 |
| Entity Type | Individual |
| Full Name | CHARLES BERNARD SELF |
| Credential | ED.D. |
| Practice Address |
1 Lifeway Plz Nashville TN 37234-0166 |
| Mailing Address |
219 Winburn Ln Franklin TN 37069-4103 |
| Practice Telephone | 6152512953 |
| Practice Fax Number | 6152515618 |
| Mailing Telephone | 6155950513 |
| Mailing Fax Number | 6152515618 |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | TNLMT#221 | TN | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497741995 | Charles Edward Self | Physician Assistant | 1111 Homer Rd, Minden, LA 71055-3027 | 2005-09-21 |
| Street Address |
1 LIFEWAY PLZ |
| City | NASHVILLE |
| State | TN |
| Zip Code | 37234-0166 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497356323 | Taylor O'bryan | Speech-Language Pathologist | 1110 Sharpe Ave, Nashville, TN 37206-2602 | 2020-11-06 |
| 1275134025 | Dara Downs | Nurse Practitioner | 1120 Glenview Dr, Nashville, TN 37206-3832 | 2020-11-06 |
| 1316548191 | Anne Nicole Koethe | Nurse Practitioner | Saint Thomas Medical Group, 4230 Harding Pike #503, Nashville, TN 37205 | 2020-11-06 |
| 1740881523 | Mitchell Craig Mcguire | Chiropractor | 28 White Bridge Pike Ste 316, Nashville, TN 37205-1467 | 2020-11-06 |
| 1750982856 | Handerson Leon | Registered Nurse | 2608 8th Ave S Apt 532, Nashville, TN 37204-3162 | 2020-11-04 |
| 1811598188 | Megan Trace Bearman | Counselor | 1107 Gartland Ave, Nashville, TN 37206-2746 | 2020-11-03 |
| 1306447628 | Daniel Lasselle | Pharmacist | 3133 Boulder Park Dr, Nashville, TN 37214-3821 | 2020-11-03 |
| 1770184079 | Heart and Soul Hospice LLC | Hospice Care, Community Based | 402 Bna Corporate Dr., Suite 305, Nashville, TN 37217 | 2020-11-03 |
| 1881295194 | Morgan Maxwell | Physical Therapy Assistant | 5800 River Rd Apt 602, Nashville, TN 37209-5658 | 2020-11-03 |
| 1982204533 | Bri'andra Grantham | Registered Nurse | 103 Academy Sq, Nashville, TN 37210-2052 | 2020-10-31 |
| Find all providers in NASHVILLE | ||||
| 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 |
|---|---|---|---|---|
| 1629675350 | Mary Alexandra Coleman | Marriage & Family Therapist | 807 B. Porter Rd, Nashville, TN 37206 | 2020-10-06 |
| 1003423740 | Morgan Bates | Marriage & Family Therapist | 1001 4th Ave N Apt 454, Nashville, TN 37219-1142 | 2020-09-27 |
| 1326653726 | Megan Elizabeth Kandros | Marriage & Family Therapist | 2929 Sidco Dr, Nashville, TN 37204-3709 | 2020-09-11 |
| 1518581198 | Laura Anderson | Marriage & Family Therapist | 2021 21st Ave S Ste 426, Nashville, TN 37212-4350 | 2020-05-30 |
| 1174164594 | Jordan Simmons | Marriage & Family Therapist | 335 Murfreesboro Pike, Nashville, TN 37210-2824 | 2019-10-07 |
| 1699328781 | Bethany Christian Services | Marriage & Family Therapist | 230 Great Circle Rd Ste 229, Nashville, TN 37228-1732 | 2019-07-18 |
| 1164081683 | Nashville Relationship Institute, Inc. | Marriage & Family Therapist | 920 Waldkirch Ave, Nashville, TN 37204-2427 | 2019-06-08 |
| 1467018689 | Stephen Gerard Navyac | Marriage & Family Therapist | 1919 19th Ave S, Nashville, TN 37212-3805 | 2019-05-13 |
| 1982267308 | Amanda Ellingsen | Marriage & Family Therapist | 600 12th Ave S Apt 522, Nashville, TN 37203-6619 | 2019-04-22 |
| 1598228769 | Tameka Dennis | Marriage & Family Therapist | 1321 Murfreesboro Pike Ste 521a, Nashville, TN 37217-2657 | 2019-04-12 |
| Find all providers in NASHVILLE | ||||
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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.