| Crestwyn Behavioral Health | |
|
9485 Crestwyn Hills Cv Memphis TN 38125-8515 | |
| (855) 248-4757 | |
| Not Available |
| Full Name | Crestwyn Behavioral Health |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 9485 Crestwyn Hills Cv, Memphis, Tennessee |
| Authorized Official Name and Position | Brian P Farley (VICE PRESIDENT & SECRETARY) |
| Authorized Official Contact | 6158616000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Crestwyn Behavioral Health 6100 Tower Cir Ste 1000 Franklin TN 37067-1509 Ph: (615) 861-6000 | Crestwyn Behavioral Health 9485 Crestwyn Hills Cv Memphis TN 38125-8515 Ph: (855) 248-4757 |
| NPI Number | 1417458944 |
|---|---|
| Provider Enumeration Date | 02/21/2018 |
| Last Update Date | 08/25/2023 |
| Certification Date | 08/25/2023 |
| Medicare PECOS PAC ID | 5799084984 |
|---|---|
| Medicare Enrollment ID | O20200116001853 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417458944 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Lucas A Trautman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1497978258 PECOS PAC ID: 4981742590 Enrollment ID: I20091118000465 |
| Provider Name | Sarah Rack |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1588605463 PECOS PAC ID: 0042353898 Enrollment ID: I20151112000716 |
| Provider Name | Michael J Rack |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639194566 PECOS PAC ID: 2961474853 Enrollment ID: I20151230000551 |
| Provider Name | Sara Gramling Van Scoy |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1821160151 PECOS PAC ID: 4284620311 Enrollment ID: I20210505003244 |
| Provider Name | Sharon L. Tipler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538832712 PECOS PAC ID: 9335535293 Enrollment ID: I20220401002266 |
| Provider Name | Cary D Carver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871248575 PECOS PAC ID: 5799162996 Enrollment ID: I20220509001753 |
Guided Steps Healthcare Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2400 Poplar Ave, 350, Memphis, TN 38112 Phone: 504-491-0774 | |
Concern Eap Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2670 Union Extended, Suite 610, Memphis, TN 38112 Phone: 901-458-4000 Fax: 901-458-0048 | |
Helping Hands Community Development Center Of Tennessee Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5100 Poplar Ave, Memphis, TN 38137 Phone: 404-988-3474 | |
Crossroads Treatment Centers Of Tennessee, P.c. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2400 Poplar Ave, Memphis, TN 38112 Phone: 800-805-6989 | |
Up-ward Aba Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2068 Evelyn Ave, Memphis, TN 38104 Phone: 901-308-4762 Fax: 901-234-0221 | |
Jaded Lotus Aba Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3834 Ginkgo Ln Apt 206, Memphis, TN 38125 Phone: 901-336-4225 | |
Step Up Care Of Tennessee Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1250 Farrow Rd, Memphis, TN 38116 Phone: 718-298-4375 |