Advanced Psychiatric Services | |
50 Bent Creek Ln Jackson TN 38305-2170 | |
(731) 668-6560 | |
(731) 660-8739 |
Full Name | Advanced Psychiatric Services |
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Speciality | Social Worker - Clinical |
Location | 50 Bent Creek Ln, Jackson, Tennessee |
Authorized Official Name and Position | Mohamad R Karami-sichani (OWNER) |
Authorized Official Contact | 7316686560 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Advanced Psychiatric Services 1804 Highway 45 Byp Suite 604 Jackson TN 38305-4436 Ph: (731) 660-8759 | Advanced Psychiatric Services 50 Bent Creek Ln Jackson TN 38305-2170 Ph: (731) 668-6560 |
NPI Number | 1417962952 |
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Provider Enumeration Date | 07/31/2006 |
Last Update Date | 07/13/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1417962952 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Secondary |
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Advanced Psychiatric Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 50 Bent Creek Ln, Jackson, TN 38305 Phone: 731-668-6566 Fax: 731-660-8739 |