| Sexual Assault Center | |
|
101 French Landing Dr Nashville TN 37228-1511 | |
| (615) 259-9055 | |
| (615) 244-6855 |
| Full Name | Sexual Assault Center |
|---|---|
| Speciality | Counselor |
| Location | 101 French Landing Dr, Nashville, Tennessee |
| Authorized Official Name and Position | Pam N Penuel (BILLING DIRECTOR) |
| Authorized Official Contact | 6152599055 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sexual Assault Center 101 French Landing Dr Nashville TN 37228-1511 Ph: (615) 259-9055 | Sexual Assault Center 101 French Landing Dr Nashville TN 37228-1511 Ph: (615) 259-9055 |
| NPI Number | 1033216304 |
|---|---|
| Provider Enumeration Date | 09/20/2006 |
| Last Update Date | 10/07/2008 |
| Medicare PECOS PAC ID | 4486659018 |
|---|---|
| Medicare Enrollment ID | O20061003000452 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033216304 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (Tennessee) | Primary |
| Provider Name | Lisa Lyons |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215983671 PECOS PAC ID: 4082719885 Enrollment ID: I20070424000520 |
| Provider Name | Alicia A Bunch Vargas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801428008 PECOS PAC ID: 7315356250 Enrollment ID: I20210506000378 |
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