| Madison Psychiatric Assts, P.c. | |
|
803 Meadowlark Ln Goodlettsville TN 37072-2307 | |
| (615) 859-6414 | |
| (615) 859-6419 |
| Full Name | Madison Psychiatric Assts, P.c. |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 803 Meadowlark Ln, Goodlettsville, Tennessee |
| Authorized Official Name and Position | A K M Fakhruddin (PRESIDENT) |
| Authorized Official Contact | 6158596414 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Madison Psychiatric Assts, P.c. 803 Meadowlark Ln Goodlettsville TN 37072-2307 Ph: (615) 859-6414 | Madison Psychiatric Assts, P.c. 803 Meadowlark Ln Goodlettsville TN 37072-2307 Ph: (615) 859-6414 |
| NPI Number | 1245375906 |
|---|---|
| Provider Enumeration Date | 02/20/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245375906 | NPI | - | NPPES |
| 3730751 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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