Healthcare Provider Details
I. General information
NPI: 1548804636
Provider Name (Legal Business Name): SATYALUNA LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/31/2019
Last Update Date: 05/11/2024
Certification Date: 05/11/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
615 MAIN ST STE B23
NASHVILLE TN
37206-3603
US
IV. Provider business mailing address
615 MAIN ST STE B2
NASHVILLE TN
37206-3603
US
V. Phone/Fax
- Phone: 615-821-2575
- Fax: 615-821-0024
- Phone: 615-821-2575
- Fax: 615-821-2575
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 171400000X |
| Taxonomy | Health & Wellness Coach |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103K00000X |
| Taxonomy | Behavior Analyst |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
SANDRA
FINLEY
Title or Position: OWNER/BCBA
Credential: BCBA
Phone: 615-821-2575