Healthcare Provider Details
I. General information
NPI: 1790763381
Provider Name (Legal Business Name): PSYCHIATRIC CONSULTANTS PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/04/2006
Last Update Date: 04/13/2023
Certification Date: 04/13/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2010 QUAIL HOLLOW CIR
FRANKLIN TN
37067-5967
US
IV. Provider business mailing address
2010 QUAIL HOLLOW CIR
FRANKLIN TN
37067-5967
US
V. Phone/Fax
- Phone: 615-807-4025
- Fax: 615-807-4022
- Phone: 615-807-4025
- Fax: 615-807-4022
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 103G00000X |
| Taxonomy | Clinical Neuropsychologist |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 1041C0700X |
| Taxonomy | Clinical Social Worker |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2084P0800X |
| Taxonomy | Psychiatry Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MS.
REBECCA
DELANEY
Title or Position: ADMINISTRATOR
Credential:
Phone: 615-807-4025