Provider Demographics
NPI:1366117525
Name:CARDEN, BRIAN (MMFT)
Entity type:Individual
Prefix:
First Name:BRIAN
Middle Name:
Last Name:CARDEN
Suffix:
Gender:M
Credentials:MMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6201 CORINTH RD
Mailing Address - Street 2:
Mailing Address - City:MT JULIET
Mailing Address - State:TN
Mailing Address - Zip Code:37122-7603
Mailing Address - Country:US
Mailing Address - Phone:615-512-5257
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:615-973-5454
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-10
Last Update Date:2021-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist