Healthcare Provider Details

I. General information

NPI: 1225682198
Provider Name (Legal Business Name): TENNESSEE CENTER FOR BRAIN HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/30/2019
Last Update Date: 07/30/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2900 FELICIA ST STE 103
NASHVILLE TN
37209-4043
US

IV. Provider business mailing address

9005 FALLSWOOD LN
BRENTWOOD TN
37027-8679
US

V. Phone/Fax

Practice location:
  • Phone: 615-450-6758
  • Fax: 908-282-3384
Mailing address:
  • Phone: 615-482-5535
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2081P0301X
TaxonomyBrain Injury Medicine (Physical Medicine & Rehabilitation) Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. SRAVANI VENKATA ANJANA MEHTA
Title or Position: CO-FOUNDER
Credential: MD
Phone: 615-482-5535