MEDICARE: VOLUNTEER BEHAVIORAL HEALTH CARE SYSTEM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101Y00000X	Counselor	L2140551097	TN

General Provider Information

NPI Number	:	1043267107
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VOLUNTEER BEHAVIORAL HEALTH CARE SYSTEM

Provider Business Mailing Address
First Line	:	118 N CHURCH ST
Second Line	:
City	:	MURFREESBORO
State	:	TN
Zip	:	37130-3636
Country	:	US
Telephone Number	:	615-278-2241
Fax Number	:	615-904-9182

Provider Business Practice Location Address
First Line	:	1504 WILLIAMS DR
Second Line	:
City	:	MURFREESBORO
State	:	TN
Zip	:	37129-3274
Country	:	US
Telephone Number	:	615-278-2241
Fax Number	:	615-904-9182

Authorized Official
Title or Position	:	PRESIDENT/CEO
Name	:	PHYLLIS PERSINGER
Credential	:
Telephone Number	:	615-278-2241

Provider Enumeration Date	:	05/27/2006
Last Update Date	:	04/05/2023

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