MR. TERRY BAILEY NIX JR


Address: 118 Union St, Clarksville, TN 37040-5115
Phone: 9316478257

MR. TERRY BAILEY NIX JR (NPI# 1689954117) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1689954117
Entity Type Individual
Full Name MR. TERRY BAILEY NIX JR
Practice Address 118 Union St
Clarksville
TN 37040-5115
Practice Telephone 9316478257
Practice Fax Number 9316472978
Mailing Telephone 9316478257
Mailing Fax Number 9316472978
Enumeration Date 2011-08-29
Last Update Date 2011-08-29
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 320800000X Community Based Residential Treatment Facility, Mental Illness Residential Treatment Facilities

Office Location

Street Address 118 UNION ST
City CLARKSVILLE
State TN
Zip Code 37040-5115

Providers in the same location

NPI Name Taxonomy Address Enumeration
1346378296 Ellen Rae Porter Adult Companion 118 Union St, Clarksville, TN 37040-5115 2007-03-01
1508472077 Ruth Ann Maduka Counselor 118 Union St, Clarksville, TN 37040-5115 2020-09-21
1922629815 Hailey Breanne Warren Counselor 118 Union St, Clarksville, TN 37040-5115 2020-05-01
1831722941 Marcie Theresa Wolter Technician 118 Union St, Clarksville, TN 37040-5115 2020-02-17
1083263883 Patricia Shepherd Counselor 118 Union St, Clarksville, TN 37040-5115 2019-09-05
1114589835 Regina Yvonne Ferrell Case Manager/Care Coordinator 118 Union St, Clarksville, TN 37040-5115 2019-07-02
1588156673 Sarah Gilleran Technician 118 Union St, Clarksville, TN 37040-5115 2018-06-04
1992210538 Breanna Kaitlyn Browder Counselor 118 Union St, Clarksville, TN 37040-5115 2017-12-05
1407383854 Amber Marie Dunbar Counselor 118 Union St, Clarksville, TN 37040-5115 2017-05-16
1821541772 Deasia Wright Counselor 118 Union St, Clarksville, TN 37040-5115 2016-07-27
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1770124380 Clarksville Treatment Center, LLC Clinic/Center 495 Dunlop Lane, Clarksville, TN 37040 2019-10-04
1295384956 Dena Marie Borchick Technician 3779 Cindy Jo Dr. N, Clarksville, TN 37040 2019-09-05
1477014488 Emily Allen Dentist 930 Hwy 76, Clarksville, TN 37040 2019-03-31
1730640566 Latoya Ewert Counselor Centerstone Clarksville Harriet Cohn Center, 511 8th Street, Clarksville, TN 37040 2019-03-26
1356811988 Jamie Coles Behavior Technician 851 Professional Park Drive 851 Profesiional Park Drive, Clarksville, TN 37040 2018-11-27
1518448554 Bandel Counseling Service Clinic/Center 113 3rd St., Suite 25, Clarksville, TN 37040 2018-08-28
1477052520 Bridget Stokes Behavior Technician 2277 Wilma Rudolph Blvd., Suite C #259, Clarksville, TN 37040 2018-02-05
1053824334 Sandra Loren Coates Nurse Practitioner 980 Professional Park Dr Ste C, Clarksville, TN 37040 2017-11-09
1902328362 Terri Brooke Roach Registered Nurse 651 Dunlop Lane, Clarksville, TN 37040 2017-07-07
1093244428 Nikkia Deneil Bell Behavior Technician 139 E. Old Trenton Rd, Suite B, Clarksville, TN 37040 2017-06-08
Find all providers in zip 37040

Taxonomy Information

Taxonomy Code 320800000X
Grouping Residential Treatment Facilities
Classification Community Based Residential Treatment Facility, Mental Illness

Taxonomy Definition

A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1699202457 Jelessa Lashae Crosby-powell Community Based Residential Treatment Facility, Mental Illness 2010 Tynewood Dr, Clarksville, TN 37042-5284 2017-05-11
1902260805 Sharon Gilgenast Community Based Residential Treatment Facility, Mental Illness 1279 Cloverdale Dr, Clarksville, TN 37040-4714 2016-04-07
1689040289 Shemeka Lajuana Jenkins Community Based Residential Treatment Facility, Mental Illness 118 Union Stret, Clarksville, TN 37040 2015-08-18
1669890281 Marian Davis Community Based Residential Treatment Facility, Mental Illness 100 Ballygar St Apt M, Clarksville, TN 37043-2800 2014-04-01
1437409620 Shanice Renee Stewart Community Based Residential Treatment Facility, Mental Illness 3369 Durrett Dr, Apt. 73, Clarksville, TN 37042-8630 2012-09-14
1366835381 Lindsey Harper Community Based Residential Treatment Facility, Mental Illness 118 Union St, Clarksville, TN 37040-5115 2015-03-16
1851700272 Lena Cantrell Community Based Residential Treatment Facility, Mental Illness 118 Union St, Clarksville, TN 37040-5115 2014-08-11
1194144238 Lastacia Peele Community Based Residential Treatment Facility, Mental Illness 118 Union St, Clarksville, TN 37040-5115 2014-04-15
1841623543 Esther Washington Community Based Residential Treatment Facility, Mental Illness 118 Union St, Clarksville, TN 37040-5115 2013-08-16
1306197215 Sylvia Rose Smith Community Based Residential Treatment Facility, Mental Illness 118 Union St, Clarksville, TN 37040-5115 2012-10-02
Find all providers in CLARKSVILLE

Competitor

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City CLARKSVILLE
Zip Code 37040

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Dataset Information

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.

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