CLOVER MENTAL HEALTH LLC (NPI# 1457971087) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457971087 |
| Entity Type | Organization |
| Organization Name | CLOVER MENTAL HEALTH LLC |
| Practice Address |
135 Quita Cir Apt B Lebanon TN 37087-4440 |
| Practice Telephone | 6159551729 |
| Mailing Telephone | 6159551729 |
| Enumeration Date | 2020-04-23 |
| Last Update Date | 2020-08-06 |
| Authorized Official Name | JUSTIN H DONNELLY (CEO/OWNER) |
| Authorized Official Telephone | 6159551729 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251B00000X | Case Management | Agencies | ||
| N | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities | ||
| Y | 103TC1900X |
Psychologist Specialization: Counseling |
Behavioral Health & Social Service Providers |
| Street Address |
135 QUITA CIR APT B |
| City | LEBANON |
| State | TN |
| Zip Code | 37087-4440 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861853657 | Justin Donnelly | Counselor | 135 Quita Cir Apt B, Lebanon, TN 37087-4440 | 2016-03-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467051698 | Results-ast Jv, LLC | Physical Therapist | 1420 West Baddour Parkway, Suite 102, Lebanon, TN 37087 | 2020-10-19 |
| 1306405725 | Angela Kurtz | Hearing Instrument Specialist | 1430 West Baddour Parkwayste D, Lebanon, TN 37087 | 2019-06-10 |
| 1164926937 | Andrea Christine Morrisett | Physical Therapist | 404 N Castle Heights Ave Ste G, Lebanon, TN 37087 | 2018-03-19 |
| 1942731492 | Rocky Mountain Holdings, LLC | Ambulance | 760d Franklin Rd, Lebanon, TN 37087 | 2017-03-27 |
| 1326409285 | Karina Lawrence | Speech-Language Pathologist | 1006 Keaton Street, Lebanon, TN 37087 | 2016-03-18 |
| 1174910491 | Yehualashet Bekele Hailemariam | Internal Medicine | 1411 W Baddour Pkwy,lebanon Tn 37087, Lebanon, TN 37087 | 2015-04-24 |
| 1043614829 | Jean Thompson | Behavioral Analyst | 1004 Hickory Hill Lane, Suite 2, Hermitage, TN 37087 | 2014-10-22 |
| 1588072771 | La Keisha Fair | Community Health Worker | 1 Cumberland Square, Lebanon, TN 37087 | 2014-07-31 |
| 1023440609 | James Martin Meadows | Specialist/Technologist | One Cumberland Square, Lebanon, TN 37087 | 2013-08-06 |
| 1336571231 | Lori Ann De Leo | Social Worker | 109 Autumn Creek, Lebanon, TN 37087 | 2013-08-01 |
| Find all providers in zip 37087 | ||||
| Taxonomy Code | 103TC1900X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Counseling |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316033897 | Stephanie Falk | Psychologist | 502 East Lehman Street, 3rd Floor, Lebanon, PA 17046-4013 | 2006-10-04 |
| 1881806073 | Mary K Jankowski | Psychologist | 1 Medical Center Dr, Dartmouth Hitchcock - Psychology, Lebanon, NH 03756-1000 | 2007-05-03 |
| 1003930678 | Jesse White | Psychologist | 9 Hanover St, Suite 2, Lebanon, NH 03766-1312 | 2007-03-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720609498 | Kevin Matthew Fry | Psychologist | 208 Conference Center Building 600 Henley Street, Knoxville, TN 37996-0001 | 2020-05-04 |
| 1013536762 | Angela N Hilton | Psychologist | 1400 N 6th Ave Ste A7, Knoxville, TN 37917-6043 | 2020-04-13 |
| 1306477963 | Ecounseling Connection, Pllc | Psychologist | 1050 Glenbrook Way Ste 480-406, Hendersonville, TN 37075-1241 | 2020-01-31 |
| 1457991093 | Cynthia Gay Luther | Psychologist | 702 Weakley Ln, Smyrna, TN 37167-4805 | 2020-01-12 |
| 1962044198 | Mary B Beasley | Psychologist | 1080 Little Marrowbone Rd, Ashland City, TN 37015 | 2019-10-09 |
| 1427603554 | University of Memphis | Psychologist | 4055 North Park Loop, Suite 1000, Memphis, TN 38152 | 2019-08-06 |
| 1134639636 | Jennifer A Moore | Psychologist | 310 S Walnut Bend Rd Ste 2, Cordova, TN 38018-7282 | 2017-10-10 |
| 1104360049 | Calisha Brooks | Psychologist | 7220 Autumn Crossing Way, Brentwood, TN 37027-8828 | 2016-12-12 |
| 1770843369 | Eric D Manley | Psychologist | 420 W Morris Blvd Ste 130, Morristown, TN 37813-2255 | 2012-05-17 |
| 1518254168 | Kalpana Gowda | Psychologist | 304b Uptown Sq Ste 4, Murfreesboro, TN 37129-0574 | 2011-07-05 |
| Find all providers with the same taxonomy | ||||
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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.