| Nashville Psychedelic Center, Llc | |
|
1007 Towee Ct Kingston Springs TN 37082-5171 | |
| (865) 617-5110 | |
| Not Available |
| Full Name | Nashville Psychedelic Center, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1007 Towee Ct, Kingston Springs, Tennessee |
| Authorized Official Name and Position | Robert Desalvo (CO-OWNER) |
| Authorized Official Contact | 1556087426 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nashville Psychedelic Center, Llc 1007 Towee Ct Kingston Springs TN 37082-5171 Ph: (865) 617-5110 | Nashville Psychedelic Center, Llc 1007 Towee Ct Kingston Springs TN 37082-5171 Ph: (865) 617-5110 |
| NPI Number | 1245959188 |
|---|---|
| Provider Enumeration Date | 08/24/2022 |
| Last Update Date | 08/24/2022 |
| Certification Date | 08/24/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245959188 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Harpeth Valley Behavioral Therapy Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 584 Mount Pleasant Rd, Kingston Springs, TN 37082 Phone: 615-579-4910 |