| Strong Foundation Behavioral Health Clinic | |
|
542 Uptown Sq Murfreesboro TN 37129-0589 | |
| (615) 203-5024 | |
| (629) 201-8365 |
| Full Name | Strong Foundation Behavioral Health Clinic |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 542 Uptown Sq, Murfreesboro, Tennessee |
| Authorized Official Name and Position | James M Roberts (ADMINISTRATOR) |
| Authorized Official Contact | 6152456255 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Strong Foundation Behavioral Health Clinic 542 Uptown Sq Murfreesboro TN 37129-0589 Ph: (615) 203-5024 | Strong Foundation Behavioral Health Clinic 542 Uptown Sq Murfreesboro TN 37129-0589 Ph: (615) 203-5024 |
| NPI Number | 1205370939 |
|---|---|
| Provider Enumeration Date | 12/14/2016 |
| Last Update Date | 11/11/2022 |
| Certification Date | 11/11/2022 |
| Medicare PECOS PAC ID | 7012269046 |
|---|---|
| Medicare Enrollment ID | O20181002003027 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205370939 | NPI | - | NPPES |
| Q033560 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | (* (Not Available)) | Primary |
| Provider Name | Deborah Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790899086 PECOS PAC ID: 4688626179 Enrollment ID: I20100825000071 |
| Provider Name | Shannon Y Pitts |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1174702849 PECOS PAC ID: 1759550114 Enrollment ID: I20110802000141 |
| Provider Name | Janet Webster-call |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710390539 PECOS PAC ID: 2466734801 Enrollment ID: I20180626002520 |
| Provider Name | Jamie A Mcfarland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336770015 PECOS PAC ID: 3577983576 Enrollment ID: I20210324001141 |
| Provider Name | Shawn Christopher Malugin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376291518 PECOS PAC ID: 2769878214 Enrollment ID: I20220408001510 |
| Provider Name | Janice G Clarida |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194307710 PECOS PAC ID: 1254793862 Enrollment ID: I20230815000201 |
| Provider Name | Tiffany Mattox-rubin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700373115 PECOS PAC ID: 5890165302 Enrollment ID: I20230926000610 |
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Volunteer Behavioral Health Care System Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1504 Williams Dr, Murfreesboro, TN 37129 Phone: 615-278-2241 Fax: 615-904-9182 | |
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