Healthcare Provider Details

I. General information

NPI: 1912092487
Provider Name (Legal Business Name): JEWISH FAMILY SERVICE OF NASHVILLE AND MIDDLE TENNESSEE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/03/2006
Last Update Date: 10/12/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

801 PERCY WARNER BLVD. SUITE 103
NASHVILLE TN
37205-4218
US

IV. Provider business mailing address

801 PERCY WARNER BLVD. SUITE 103
NASHVILLE TN
37205-4218
US

V. Phone/Fax

Practice location:
  • Phone: 615-356-4234
  • Fax: 615-301-0676
Mailing address:
  • Phone: 615-356-4234
  • Fax: 615-301-0676

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number780004424
License Number StateTN
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number StateTN

VIII. Authorized Official

Name: MRS. PAMELA G. KELNER
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 615-354-1644