| Mobile Therapy Centers Of Tennessee, Llc | |
|
330 Franklin Rd Ste 135a-142 Brentwood TN 37027-3280 | |
| (615) 478-6603 | |
| Not Available |
| Full Name | Mobile Therapy Centers Of Tennessee, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 330 Franklin Rd Ste 135a-142, Brentwood, Tennessee |
| Authorized Official Name and Position | Darrell G Vanzant (OWNER) |
| Authorized Official Contact | 6154786603 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mobile Therapy Centers Of Tennessee, Llc 330 Franklin Rd Ste 135a-142 Brentwood TN 37027-3280 Ph: (615) 478-6603 | Mobile Therapy Centers Of Tennessee, Llc 330 Franklin Rd Ste 135a-142 Brentwood TN 37027-3280 Ph: (615) 478-6603 |
| NPI Number | 1689187247 |
|---|---|
| Provider Enumeration Date | 11/06/2017 |
| Last Update Date | 07/15/2020 |
| Certification Date | 07/15/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689187247 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | 11519477 (Colorado) | Primary |
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