JELESSA LASHAE CROSBY-POWELL


Address: 2010 Tynewood Dr, Clarksville, TN 37042-5284
Phone: 6185017109

JELESSA LASHAE CROSBY-POWELL (NPI# 1699202457) 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) 1699202457
Entity Type Individual
Full Name JELESSA LASHAE CROSBY-POWELL
Other Name JELESSA CROSBY
Practice Address 2010 Tynewood Dr
Clarksville
TN 37042-5284
Practice Telephone 6185017109
Mailing Telephone 6185017109
Enumeration Date 2017-05-11
Last Update Date 2017-05-11
Gender Code F
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 2010 TYNEWOOD DR
City CLARKSVILLE
State TN
Zip Code 37042-5284

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1275186603 Elizabeth Louise Eckart Physical Therapist 305 Rue Le Mans Dr., Clarksville, TN 37042 2019-07-24
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1336590058 Bobby Bonner Jr. Case Manager/Care Coordinator 1697putnum Drive, Clarksville, TN 37042 2016-06-23
1184078040 Sheena Williams Counselor 901 Martin St., Clarksville, TN 37042 2016-04-18
1568847069 Sara Hyun Seung Oh Dentist 1692 Fort Campbell Blvd, Clarksville, TN 37042 2015-07-25
1346621323 Rocky Mountain Holdings, LLC Ambulance 248 Outlaw Field Rd, Clarksville, TN 37042 2015-06-15
1528448974 Tennessee State Veterans Home Board Skilled Nursing Facility 250 Arrowood Drive, Clarksville, TN 37042 2015-06-01
1851709331 Brent Michael Hazlewood Dentist 466 Tiny Town Rd, Ste A, Clarksville, TN 37042 2014-07-28
1619304318 Regina G Goldwire Nurse Practitioner 351 Dover Road, North Clarksville Medical Center, Clarksville, TN 37042 2013-09-26
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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
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
1689954117 Terry Bailey Nix Jr Community Based Residential Treatment Facility, Mental Illness 118 Union St, Clarksville, TN 37040-5115 2011-08-29
Find all providers in CLARKSVILLE

Competitor

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City CLARKSVILLE
Zip Code 37042

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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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