Lifespark Pllc in Gallatin, TN - Medicare Psychologist

Lifespark Pllc is a medicare enrolled mental health clinic (Psychologist - Clinical) in Gallatin, Tennessee. The current practice location for Lifespark Pllc is 106 Public Sq Ste 105, Gallatin, Tennessee. For appointments, you can reach them via phone at (615) 675-0025. The mailing address for Lifespark Pllc is 106 Public Sq Ste 105, Gallatin, Tennessee and phone number is (615) 675-0025.

Lifespark Pllc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1396217816. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (615) 675-0025.

Contact Information

	Lifespark Pllc
	106 Public Sq Ste 105 Gallatin TN 37066
	(615) 675-0025
	(615) 675-0026

Map and Direction

Mental Health Clinic Profile

Full Name	Lifespark Pllc
Speciality	Psychologist
Location	106 Public Sq Ste 105, Gallatin, Tennessee
Authorized Official Name and Position	Jason Holland (CEO)
Authorized Official Contact	4157028240
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Lifespark Pllc 106 Public Sq Ste 105 Gallatin TN 37066-3204 Ph: (615) 675-0025	Lifespark Pllc 106 Public Sq Ste 105 Gallatin TN 37066 Ph: (615) 675-0025

NPI Details:

NPI Number	1396217816
Provider Enumeration Date	12/21/2018
Last Update Date	09/09/2019

Medicare PECOS Information:

Medicare PECOS PAC ID	1254679285
Medicare Enrollment ID	O20190215002208

Medical Identifiers

Medical identifiers for Lifespark Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1396217816	NPI	-	NPPES
1407328214	Other		NPPES ORGANIZATIONAL NPI FOR MEANINGFUL LIVING LLC
1912478108	Other		NPPES INDIVIDUAL NPI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TA0700X	Psychologist - Adult Development & Aging	(* (Not Available))	Secondary
103TC0700X	Psychologist - Clinical	(* (Not Available))	Primary
103TF0200X	Psychologist - Forensic	(* (Not Available))	Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Lifespark Pllc acts as a billing entity for following providers:

Provider Name	Jason Holland
Provider Type	Practitioner - Clinical Psychologist
Provider Identifiers	NPI Number: 1912478108 PECOS PAC ID: 2163760190 Enrollment ID: I20190215002395

Reviews and Comments

Psychologist in Gallatin, TN

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Lifespark Pllc - Medicare Mental Health Clinic in Gallatin, TN