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NPI Code Detail

MEDICARE: STEVEN NEELY

MEDICARE: STEVEN NEELY
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
1171M00000XCase Manager/Care Coordinator
2101YM0800XMental Health Counselor2246TN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
14191413OTHERTNBCBS

General Provider Information

NPI Number : 1063541506
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEVEN NEELY
Provider Business Mailing Address
First Line : 446 METROPLEX DR
Second Line : SUITE A-100
City : NASHVILLE
State : TN
Zip : 37211-3139
Country : US
Telephone Number : 615-781-0013
Fax Number :
Provider Business Practice Location Address
First Line : 143 SE PARKWAY CT
Second Line :
City : FRANKLIN
State : TN
Zip : 37064-3968
Country : US
Telephone Number : 615-790-0567
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/02/2007
Last Update Date : 12/02/2025

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