MARY KATHERINE HANE (NPI# 1144623620) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144623620 |
| Entity Type | Individual |
| Full Name | MARY KATHERINE HANE |
| Practice Address |
207 W Blackwell St Tullahoma TN 37388-3395 |
| Mailing Address |
11331 Tullahoma Hwy Tullahoma TN 37388-6015 |
| Practice Telephone | 9314610290 |
| Mailing Telephone | 9316368128 |
| Enumeration Date | 2014-09-29 |
| Last Update Date | 2014-09-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | 621674308 | TN | Residential Treatment Facilities |
| Street Address |
207 W BLACKWELL ST |
| City | TULLAHOMA |
| State | TN |
| Zip Code | 37388-3395 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336372804 | Rhonda L Ray | Psychiatric Residential Treatment Facility | 207 W Blackwell St, Tullahoma, TN 37388-3395 | 2009-08-31 |
| 1366845612 | Molly Davis | Counselor | 207 W Blackwell St, Tullahoma, TN 37388-3395 | 2014-10-01 |
| 1942603311 | Angela Elliott | Counselor | 207 W Blackwell St, Tullahoma, TN 37388-3395 | 2014-09-30 |
| 1720481351 | Amber Lee | Community Health Worker | 207 W Blackwell St, Tullahoma, TN 37388-3395 | 2014-09-26 |
| 1255747424 | Alicia Reed | Counselor | 207 W Blackwell St, Tullahoma, TN 37388-3395 | 2014-07-08 |
| 1134532427 | Stephanie Matthews | Counselor | 207 W Blackwell St, Tullahoma, TN 37388-3395 | 2014-06-04 |
| 1538570916 | Herbert Cantrell | Counselor | 207 W Blackwell St, Tullahoma, TN 37388-3395 | 2014-05-19 |
| 1194143800 | Heather Musall | Counselor | 207 W Blackwell St, Tullahoma, TN 37388-3395 | 2014-03-31 |
| 1427490457 | William Edward Roberts | Counselor | 207 W Blackwell St, Tullahoma, TN 37388-3395 | 2013-07-18 |
| 1568700730 | Anita Ann Teal | Counselor | 207 W Blackwell St, Tullahoma, TN 37388-3395 | 2013-01-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588183628 | Angela Michelle Sowers | Dietitian, Registered | 1801 North Jackson St, Tullahoma, TN 37388 | 2017-09-09 |
| 1194242669 | Haley D Stewart | Speech-Language Pathologist | Top Rehab Services, Inc, 2110 N. Jackson Street, Tullahoma, TN 37388 | 2017-08-25 |
| 1295263150 | Kelli Elaine Spencer | Nurse Practitioner | Partners for Healing, 109 West Blackwell Street, Tullahoma, TN 37388 | 2017-05-23 |
| 1932651486 | Adam Snider | Physical Therapy Assistant | 1321 Cedar Lane, Tullahoma, TN 37388 | 2016-11-01 |
| 1891240743 | Elizabeth Riddle | Nurse Practitioner | 1805 N Jackson St Ste 11, Tullahoma, TN 37388 | 2016-08-22 |
| 1720437189 | Ronda Schrimsher | Peer Specialist | 108 E Lauderdale St, Tullahoma, TN 37388 | 2016-06-07 |
| 1003298639 | Jeanetta Clark | Counselor | 1803 N. Jackson St, Centerstone of Tennessee, Tullahoma, TN 37388 | 2015-06-19 |
| 1285051698 | Ashley Mcmurtry | Physical Therapist | 2110 N. Jackson Street, Tullahoma, TN 37388 | 2014-03-24 |
| 1093150575 | Orthopedic Braces | Case Management | 206 Westside Dr, Tullahoma, TN 37388 | 2013-05-09 |
| 1427397199 | Kristina Danette Carter | Pharmacist | 104 North Jackson Street, Tullahoma, TN 37388 | 2013-01-31 |
| Find all providers in zip 37388 | ||||
| Taxonomy Code | 320800000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment Facility, Mental Illness |
| A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508098187 | Centerstone | Community Based Residential Treatment Facility, Mental Illness | 207 W Blackwell St, Tullahoma, TN 37388-3395 | 2009-08-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790305522 | Milaya L Webster | Community Based Residential Treatment Facility, Mental Illness | 809 South Water Streer, Columbia, TN 38401 | 2020-04-22 |
| 1255821310 | Middle Tennessee Support Services, LLC | Community Based Residential Treatment Facility, Mental Illness | 375 Uselton Road, Shelbyville, TN 37160 | 2018-05-15 |
| 1912435892 | Blessed Beyond Home Care | Community Based Residential Treatment Facility, Mental Illness | 640 Sunburst Dr, Mcminnville, TN 37110-3051 | 2017-05-23 |
| 1699202457 | Jelessa Lashae Crosby-powell | Community Based Residential Treatment Facility, Mental Illness | 2010 Tynewood Dr, Clarksville, TN 37042-5284 | 2017-05-11 |
| 1548793441 | Stonebridge Family Counseling | Community Based Residential Treatment Facility, Mental Illness | 209 Edison St E, Fayetteville, TN 37334-3007 | 2017-04-06 |
| 1679004253 | Solutionsretreat.org, Inc. | Community Based Residential Treatment Facility, Mental Illness | 5405 Forest Acres Dr, Nashville, TN 37220-2100 | 2017-03-24 |
| 1346695194 | Manna Food 4 Life | Community Based Residential Treatment Facility, Mental Illness | 860 Tatum Rd, Memphis, TN 38122-2543 | 2016-04-29 |
| 1902260805 | Sharon Gilgenast | Community Based Residential Treatment Facility, Mental Illness | 1279 Cloverdale Dr, Clarksville, TN 37040-4714 | 2016-04-07 |
| 1942678222 | Biblical Concepts Group Homes | Community Based Residential Treatment Facility, Mental Illness | 1004 Louisville Hwy, Goodlettsville, TN 37072-1167 | 2015-09-03 |
| 1689040289 | Shemeka Lajuana Jenkins | Community Based Residential Treatment Facility, Mental Illness | 118 Union Stret, Clarksville, TN 37040 | 2015-08-18 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.