Wade, Matthew Luke

Wade, Matthew Luke is an sole proprietor health care provider with primary practice located at 204 N Main St Ste 6 , Dickson TN 37055-1815. He recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as his primary health care specialty. Wade, Matthew Luke can be contacted via phone (615) 988-8823.

Contact Information

Primary practice address
204 N Main St Ste 6 Dickson TN 37055-1815
Phone: (615) 988-8823
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X

Profile Details

NPI number 1760193114
LBN Legal business name Wade, Matthew Luke
Credentials Marriage and Family Therapist (MFT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 7th, 2022
Last updated Dec 7th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760193114 NPPES
Tennessee Other 921236194 LLC

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