=====================================================
General NPI Number Information
=====================================================
NPI Number | 1497653182
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | COREWELL STRATEGIES LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/30/2026
-----------------------------------------------------
Last Update Date | 10/30/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2615 MEDICAL CENTER PKWY STE 1560
-----------------------------------------------------
City | MURFREESBORO
-----------------------------------------------------
State | TN
-----------------------------------------------------
Zip | 37129-3758
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 615-603-6758
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2615 MEDICAL CENTER PKWY STE 1560
-----------------------------------------------------
City | MURFREESBORO
-----------------------------------------------------
State | TN
-----------------------------------------------------
Zip | 37129-3758
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 615-603-6758
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | MANAGING MEMBER
-----------------------------------------------------
Name | MS. BETTY ELVIRA MOCHIA
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 615-275-9843
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251C00000X
-----------------------------------------------------
Taxonomy Name | Developmentally Disabled Services Day Training Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------