| Scout Holdings, Llc | |
|
1535 W Northfield Blvd Ste 3b Murfreesboro TN 37129-1474 | |
| (615) 994-1468 | |
| Not Available |
| Full Name | Scout Holdings, Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1535 W Northfield Blvd Ste 3b, Murfreesboro, Tennessee |
| Authorized Official Name and Position | Courtney Michael (PARTNER) |
| Authorized Official Contact | 6159958237 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Scout Holdings, Llc 825 S. Church St. #331191 Murfreesboro TN 37133 Ph: () - | Scout Holdings, Llc 1535 W Northfield Blvd Ste 3b Murfreesboro TN 37129-1474 Ph: (615) 994-1468 |
| NPI Number | 1447883582 |
|---|---|
| Provider Enumeration Date | 02/18/2020 |
| Last Update Date | 02/18/2020 |
| Certification Date | 02/18/2020 |
| Medicare PECOS PAC ID | 7113340159 |
|---|---|
| Medicare Enrollment ID | O20200708003490 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447883582 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Linda Carol Norton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619272036 PECOS PAC ID: 6608057377 Enrollment ID: I20110301000446 |
| Provider Name | Tanitha M Moncier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063561181 PECOS PAC ID: 8729241526 Enrollment ID: I20120514000747 |
| Provider Name | Haley Weathers Stovall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699314476 PECOS PAC ID: 5597194290 Enrollment ID: I20200401000428 |
| Provider Name | Courtney Michael |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1396259909 PECOS PAC ID: 4789930363 Enrollment ID: I20200730003024 |
| Provider Name | Crystal Kirby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003564725 PECOS PAC ID: 6901287945 Enrollment ID: I20220721001994 |
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