Healthcare Provider Details
I. General information
NPI: 1699116756
Provider Name (Legal Business Name): THE NEXT DOOR, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/17/2013
Last Update Date: 10/10/2016
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
402 22ND AVE N
NASHVILLE TN
37203-1949
US
IV. Provider business mailing address
PO BOX 23336
NASHVILLE TN
37202-3336
US
V. Phone/Fax
- Phone: 615-251-8805
- Fax: 615-251-8868
- Phone: 615-251-8805
- Fax: 615-251-8868
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 320800000X |
| Taxonomy | Mental Illness Community Based Residential Treatment Facility |
| License Number | L000000012310 |
| License Number State | TN |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 324500000X |
| Taxonomy | Substance Abuse Rehabilitation Facility |
| License Number | L000000012310 |
| License Number State | TN |
VIII. Authorized Official
Name:
CINDY
SNEED
Title or Position: CHIEF CLINICAL OFFICER
Credential: NCC, LPC-MHSP
Phone: 615-251-8805