MEDICARE: ARLINGTON PSYCHIATRIC SERVICES LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner

General Provider Information

NPI Number	:	1568220267
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ARLINGTON PSYCHIATRIC SERVICES LLC

Provider Business Mailing Address
First Line	:	6225 QUINTARD ST STE 201-F
Second Line	:
City	:	ARLINGTON
State	:	TN
Zip	:	38002-5417
Country	:	US
Telephone Number	:	901-472-3069
Fax Number	:	901-472-9661

Provider Business Practice Location Address
First Line	:	6225 QUINTARD ST STE 201-F
Second Line	:
City	:	ARLINGTON
State	:	TN
Zip	:	38002-5417
Country	:	US
Telephone Number	:	901-472-3069
Fax Number	:	901-472-9661

Authorized Official
Title or Position	:	OWNER
Name	:	BRITTANY SADE MOTEN
Credential	:	NP
Telephone Number	:	901-472-3069

Provider Enumeration Date	:	03/08/2024
Last Update Date	:	03/08/2024

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