Dr Raul Anthony Delacruz-lane, PHD is a
Psychologist - Addiction (substance Use Disorder) based in Nashville, Tennessee. Dr Raul Anthony Delacruz-lane is licensed to practice in * (Not Available) (license number ) and his current practice location is
1310 24th Ave S, Nashville, Tennessee. He can be reached at his office (for appointments etc.) via phone at
(615) 873-6938.
NPI number for Dr Raul Anthony Delacruz-lane is 1346891975 and his current mailing address is 122 Beech Forge Dr, Antioch, Tennessee. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1346891975.
Healthcare Provider's Profile
| Full Name | Dr Raul Anthony Delacruz-lane |
|---|
| Gender | Male |
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| Speciality | Psychologist - Addiction (substance Use Disorder) |
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| Location | 1310 24th Ave S, Nashville, Tennessee |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1346891975
- Provider Enumeration Date: 09/25/2019
- Last Update Date: 01/14/2025
Medical Identifiers
Medical identifiers for Dr Raul Anthony Delacruz-lane such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1346891975 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | CTB-2024-0151 (New Mexico) | Secondary |
| 101YM0800X | Counselor - Mental Health | CTB-2024-0255 (New Mexico) | Secondary |
| 103TA0400X | Psychologist - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Raul Anthony Delacruz-lane is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Raul Anthony Delacruz-lane, PHD
122 Beech Forge Dr,
Antioch, TN 37013-2326
Ph: (615) 693-1950 | Dr Raul Anthony Delacruz-lane, PHD
1310 24th Ave S,
Nashville, TN 37212-2637
Ph: (615) 873-6938 |
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