| Middle Tennessee Behavioral Health | |
|
1922 Arlington Rd Lebanon TN 37087-4224 | |
| (615) 994-1440 | |
| (615) 965-2243 |
| Full Name | Middle Tennessee Behavioral Health |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1922 Arlington Rd, Lebanon, Tennessee |
| Authorized Official Name and Position | David Allen Kinzer (SINGLE MEMBER LLC.) |
| Authorized Official Contact | 6159941440 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Middle Tennessee Behavioral Health 1922 Arlington Rd Lebanon TN 37087-4224 Ph: (615) 994-1440 | Middle Tennessee Behavioral Health 1922 Arlington Rd Lebanon TN 37087-4224 Ph: (615) 994-1440 |
| NPI Number | 1871119255 |
|---|---|
| Provider Enumeration Date | 06/22/2020 |
| Last Update Date | 06/22/2020 |
| Certification Date | 06/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871119255 | NPI | - | NPPES |
| Q057097 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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