Healthcare Provider Details

I. General information

NPI: 1851811830
Provider Name (Legal Business Name): 180 HEALTH PARTNERS , INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/21/2017
Last Update Date: 06/07/2024
Certification Date: 06/07/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

555 MARRIOTT DR STE 315
NASHVILLE TN
37214-5088
US

IV. Provider business mailing address

8040 GEORGIA AVE STE 170
SILVER SPRING MD
20910-4959
US

V. Phone/Fax

Practice location:
  • Phone: 888-879-9786
  • Fax: 615-647-0748
Mailing address:
  • Phone: 888-879-9786
  • Fax: 888-511-3073

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: JUSTIN WARREN LANNING
Title or Position: PRESIDENT & CEO
Credential:
Phone: 615-549-5506