NPI Code Details Logo

NPI 1649104225

NPI 1649104225 : TENNESSEE TECH UNIVERSITY CENTER FOR ADDICTION PREVENTION AND SUPPORT : COOKEVILLE, TN

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1649104225
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    TENNESSEE TECH UNIVERSITY CENTER FOR ADDICTION PREVENTION AND SUPPORT 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    06/10/2026
-----------------------------------------------------
    Last Update Date     |    06/10/2026
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    10 W BROAD ST 
-----------------------------------------------------
    City                 |    COOKEVILLE
-----------------------------------------------------
    State                |    TN
-----------------------------------------------------
    Zip                  |    38501-2574
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    931-372-3273
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    10 W BROAD ST 
-----------------------------------------------------
    City                 |    COOKEVILLE
-----------------------------------------------------
    State                |    TN
-----------------------------------------------------
    Zip                  |    38501-2574
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    931-372-3273
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    DIRECTOR
-----------------------------------------------------
    Name                 |    DR. STEVEN  SEILER 
-----------------------------------------------------
    Credential           |    PH.D, MSW, CPS I
-----------------------------------------------------
    Telephone            |    931-372-3273
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    101YM0800X
-----------------------------------------------------
    Taxonomy Name        |    Mental Health Counselor
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.