Provider Demographics
NPI:1427331412
Name:OUTLEY, BETH
Entity type:Individual
Prefix:
First Name:BETH
Middle Name:
Last Name:OUTLEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3841 GREEN HILLS VILLAGE DR
Mailing Address - Street 2:SUITE 3000-C
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37215-2691
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3841 GREEN HILLS VILLAGE DR
Practice Address - Street 2:SUITE 3000-C
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37215-2691
Practice Address - Country:US
Practice Address - Phone:615-327-7127
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-26
Last Update Date:2011-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health