MEDICARE: MRS. ANGELA HAMILTON MCCRADY B.S.

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	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1679610752
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ANGELA HAMILTON MCCRADY B.S.

Provider Business Mailing Address
First Line	:	400 CHANEY RD
Second Line	:	APT 501
City	:	SMYRNA
State	:	TN
Zip	:	37167-2653
Country	:	US
Telephone Number	:	615-495-8599
Fax Number	:

Provider Business Practice Location Address
First Line	:	3310 PERIMETER HILL DR
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37211-4123
Country	:	US
Telephone Number	:	615-250-7200
Fax Number	:	615-250-7280

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/30/2007
Last Update Date	:	07/08/2007

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