SOUTHEAST ADDICTION CENTER NASHVILLE LLC (NPI# 1487269502) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487269502 |
| Entity Type | Organization |
| Organization Name | SOUTHEAST ADDICTION CENTER NASHVILLE LLC |
| Practice Address |
3507 Charlotte Ave Nashville TN 37209-3936 |
| Practice Telephone | 5613248872 |
| Mailing Telephone | 5613248872 |
| Enumeration Date | 2020-09-15 |
| Last Update Date | 2020-09-15 |
| Authorized Official Name | GARRETT DIAMANTIDES (MEMBER) |
| Authorized Official Telephone | 5613248872 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities |
| Street Address |
3507 CHARLOTTE AVE |
| City | NASHVILLE |
| State | TN |
| Zip Code | 37209-3936 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598871642 | Lloyd K Huang | Internal Medicine | 3507 Charlotte Ave, Nashville, TN 37209-3936 | 2006-08-22 |
| 1912251596 | Chara P Regg | Nurse Practitioner | 3507 Charlotte Ave, Nashville, TN 37209-3936 | 2012-11-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255930194 | Results-ast Jv, LLC | Physical Therapist | 6816 Charlotte Pike, Suite 103, Nashville, TN 37209 | 2020-10-21 |
| 1215564216 | Mercedes Ann Wirdzek | Registered Nurse | Metro Nashville Public Health, 2500 Charlotte Ave, Nashville, TN 37209 | 2020-03-27 |
| 1013574284 | Bao Truc Sybo | Dentist | 4502 Charlotte Pike, Nashville, TN 37209 | 2019-05-23 |
| 1609358043 | Allison Sorrells Kerr | Music Therapist | 5303 Nevada Ave, Nashville, TN 37209 | 2018-09-01 |
| 1588158455 | Tonya Melton | Nurse Practitioner | 1028 Mountain Valley Lane, Nashville, TN 37209 | 2018-06-14 |
| 1740796515 | Jill C Collins, LLC | Behavioral Analyst | 6339 Charlotte Pike # 507, Nashville, TN 37209 | 2017-12-15 |
| 1346753837 | Action Spine & Joint, LLC. | Chiropractor | 6410 Charlotte Pike Ste 102, Nashville, TN 37209 | 2017-11-07 |
| 1366976664 | Journeypure Nashville LLC | Substance Abuse Rehabilitation Facility | 3808 Park Ave, Nashville, TN 37209 | 2017-04-13 |
| 1700275344 | Bronxcare Health System | Clinic/Center | 1284 Spring Creek Dr, Nashville, TN 37209 | 2015-01-20 |
| 1073921656 | Malinda Davenport Crisp | Counselor | 6300 Charlotte Ave., Nashville, TN 37209 | 2014-07-28 |
| Find all providers in zip 37209 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003445917 | Nashville Treatment Solutions, LLC | Substance Abuse Rehabilitation Facility | 1037 Jefferson St, Nashville, TN 37208-2554 | 2020-04-02 |
| 1922590009 | Brentwood Springs Detox | Substance Abuse Rehabilitation Facility | 5935 Edmondson Pike, Nashville, TN 37211 | 2018-06-04 |
| 1366976664 | Journeypure Nashville LLC | Substance Abuse Rehabilitation Facility | 3808 Park Ave, Nashville, TN 37209 | 2017-04-13 |
| 1841666021 | Emily Hinshaw I | Substance Abuse Rehabilitation Facility | 402 22nd Ave. North, Nashville, TN 37202-1949 | 2015-08-11 |
| 1215327531 | Transitional Housing | Substance Abuse Rehabilitation Facility | 3035 Hillside Rd, Nashville, TN 37207-3014 | 2015-01-26 |
| 1144549551 | Mending Hearts Inc | Substance Abuse Rehabilitation Facility | 4305 Albion St, Nashville, TN 37209-2300 | 2010-05-25 |
| 1790806495 | Center for Professional Excellence, Inc. | Substance Abuse Rehabilitation Facility | 624 Grassmere Park, Suite 11, Nashville, TN 37211-3662 | 2007-04-02 |
| 1194873554 | Addiction & Mental Health Services, LLC | Substance Abuse Rehabilitation Facility | 1410 Donelson Pike, Suite A7, Nashville, TN 37217-2933 | 2007-01-08 |
| 1912014861 | Renewal House Inc. | Substance Abuse Rehabilitation Facility | 3410 Clarksville Pike, Nashville, TN 37218-2654 | 2006-08-24 |
| 1053303305 | Samaritan Recovery Community, Inc. | Substance Abuse Rehabilitation Facility | 319 S 4th St, Nashville, TN 37206-4103 | 2005-08-22 |
| Find all providers in NASHVILLE | ||||
Please comment or provide details below to improve the information on SOUTHEAST ADDICTION CENTER NASHVILLE LLC.
| 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.