Provider Demographics
NPI:1215684634
Name:JONES, BRANDIE (MMFT)
Entity type:Individual
Prefix:
First Name:BRANDIE
Middle Name:
Last Name:JONES
Suffix:
Gender:F
Credentials:MMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:310 WOODWIND CT
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37214-4348
Mailing Address - Country:US
Mailing Address - Phone:615-479-3949
Mailing Address - Fax:
Practice Address - Street 1:6201 CORINTH RD
Practice Address - Street 2:
Practice Address - City:MT JULIET
Practice Address - State:TN
Practice Address - Zip Code:37122-7603
Practice Address - Country:US
Practice Address - Phone:615-294-5788
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-05
Last Update Date:2022-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN1637106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist