| Zenith Mental Health Group, Llc | |
|
201 23rd Ave N Nashville TN 37203-1501 | |
| (615) 348-7908 | |
| Not Available |
| Full Name | Zenith Mental Health Group, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 201 23rd Ave N, Nashville, Tennessee |
| Authorized Official Name and Position | Charles Russell Williams (OWNER) |
| Authorized Official Contact | 6153487908 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Zenith Mental Health Group, Llc 201 23rd Ave N Nashville TN 37203-1501 Ph: (615) 348-7908 | Zenith Mental Health Group, Llc 201 23rd Ave N Nashville TN 37203-1501 Ph: (615) 348-7908 |
| NPI Number | 1184281925 |
|---|---|
| Provider Enumeration Date | 05/28/2019 |
| Last Update Date | 03/31/2021 |
| Certification Date | 03/31/2021 |
| Medicare PECOS PAC ID | 4486062627 |
|---|---|
| Medicare Enrollment ID | O20210428000270 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184281925 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Charles Russell Williams |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1003226986 PECOS PAC ID: 5395153530 Enrollment ID: I20210428000358 |
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