Healthcare Provider Details

I. General information

NPI: 1861780546
Provider Name (Legal Business Name): COMPLEXCARE SOLUTIONS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/15/2011
Last Update Date: 01/04/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

443 DONELSON PIKE
NASHVILLE TN
37214
US

IV. Provider business mailing address

443 DONELSON PIKE
NASHVILLE TN
37214
US

V. Phone/Fax

Practice location:
  • Phone: 615-255-7759
  • Fax: 718-732-2638
Mailing address:
  • Phone: 615-255-7759
  • Fax: 718-732-2638

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State

VIII. Authorized Official

Name: VERONICA D. PICKENS
Title or Position: SENIOR DIRECTOR, COMPLIANCE & DELEG
Credential: CHC
Phone: 301-809-4000