Organization · Type 2 NPI
Stable Space Trauma and Equine Therapy
Mental Health Clinic/Center (Including Community Mental Health Center) · Lyles, TN
NPI number
1366334146
Active
Practice location
9580 S Lick Creek Rd
Lyles, TN 37098-3015
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | None listed |
| Mental Health Clinic/Center (Including Community Mental Health Center) Primary | 261QM0801X | None listed |
| Adult Mental Health Clinic/Center | 261QM0850X | None listed |
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X | None listed |
Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...
Another provider at this address
About NPI 1366334146
Stable Space Trauma and Equine Therapy's National Provider Identifier is 1366334146, issued on Jul 16, 2025. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Lyles, TN. The record was last updated on Jul 16, 2025.