KELLY MARIE BOURQUE


Address: 108 4th Ave S Ste 205, Franklin, TN 37064-2676
Phone: 6155942830

KELLY MARIE BOURQUE (NPI# 1033762844) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1033762844
Entity Type Individual
Full Name KELLY MARIE BOURQUE
Credential LMFT
Practice Address 108 4th Ave S Ste 205
Franklin
TN 37064-2676
Mailing Address 109 Lanes End Dr
Franklin
TN 37067-5101
Practice Telephone 6155942830
Mailing Telephone 6155942830
Enumeration Date 2019-07-20
Last Update Date 2019-07-20
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
769 TN Behavioral Health & Social Service Providers

Office Location

Street Address 108 4TH AVE S STE 205
City FRANKLIN
State TN
Zip Code 37064-2676

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1346852654 Tanya Watson Pharmacist 1451 New Hwy 96 W, Franklin, TN 37064 2020-08-18
1629639547 Anthony Porter Owens Counselor 382 Natchez St, Franklin, TN 37064 2019-06-21
1124589130 Erica Lee Gentry Social Worker 125 Brevet Dr, Franklin, TN 37064 2019-03-31
1497225064 Corbett Hinkle Counselor 1224 B Columbia Ave Suite 100, Franklin, TN 37064 2018-11-27
1477048148 Robert Gurich Counselor 1325 W Main St Ste B, Franklin, TN 37064 2018-06-26
1649765553 Tucker's House Contractor 201 Beasley Drive Unit G, Franklin, TN 37064 2018-06-25
1245775386 Kathryn Mccaffrey Crabtree Pharmacist 5021 Hughes Crossings Boulevard, Franklin, TN 37064 2016-12-28
1437510146 Jeffrey Bryce Farr Dentist Noba 509 New Hwy 96, Suite 100, Franklin, TN 37064 2016-03-09
1215307137 Amanda Nicole Stacey Occupational Therapist 870 Oak Meadow Dr, Franklin, TN 37064 2015-10-05
1982083796 Olivia Ellis Social Worker 1113 Murfreesboro Rd #202, Nashville, TN 37064 2015-05-26
Find all providers in zip 37064

Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1316566581 Garapha Mezidor Counselor 2 Master Dr, Franklin, MA 02038-3052 2020-04-08
1275161465 Jill Campbell Flowers Counselor Cool Springs Psychiatric Group, 354 Cool Springs Boulevard, Suite 105, Franklin, TN 37067 2020-04-01
1689209181 With You Counseling Services, LLC Counselor 323 13th St, Franklin, PA 16323-1304 2020-03-05
1023656857 Kristine Stanfield Counselor 504 Autumn Springs Ct Ste 4, Franklin, TN 37067-8278 2019-12-11
1427602093 Jvb Counseling Inc Counselor 16 Cottage St Ste 3, Franklin, MA 02038-2250 2019-07-31
1629639547 Anthony Porter Owens Counselor 382 Natchez St, Franklin, TN 37064 2019-06-21
1386202943 Seana Vernelson Counselor 133 E Palmer St Ste 20120, Franklin, NC 28734-3040 2019-05-30
1467913798 Lora Carpenter Counselor 7851 Kaye Dr, Franklin, OH 45005-3825 2019-03-28
1639638091 Barbara Wyer Counselor 109 Holiday Ct Ste 6, Franklin, TN 37067-3000 2019-03-15
1265910699 Carolyn Mary Kutsko Counselor 320 Bobby Dr, Franklin, TN 37069-6444 2018-07-28
Find all providers in FRANKLIN

Competitor

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City FRANKLIN
Zip Code 37064

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Dataset Information

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.

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