Healthcare Provider Details

I. General information

NPI: 1518306604
Provider Name (Legal Business Name): VISTA BEHAVIORAL HEALTH, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/21/2013
Last Update Date: 06/21/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

830 CRESCENT CENTRE DR STE 610
FRANKLIN TN
37067-7323
US

IV. Provider business mailing address

830 CRESCENT CENTRE DR STE 610
FRANKLIN TN
37067-7323
US

V. Phone/Fax

Practice location:
  • Phone: 615-861-6000
  • Fax: 615-261-9685
Mailing address:
  • Phone: 615-861-6000
  • Fax: 615-261-9685

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code283Q00000X
TaxonomyPsychiatric Hospital
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number
License Number State

VIII. Authorized Official

Name: MR. SCOTT EDWARD SCHWIEGER
Title or Position: DEPUTY GENERAL COUNSEL
Credential:
Phone: 615-861-6000