MEDICARE: 180 HEALTH PARTNERS , INC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	101YP2500X	Professional Counselor
2	261QM1300X	Multi-Specialty Clinic/Center
3	251B00000X	Case Management Agency
4	251S00000X	Community/Behavioral Health Agency
5	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1851811830
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	180 HEALTH PARTNERS , INC

Provider Business Mailing Address
First Line	:	8040 GEORGIA AVE STE 170
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20910-4959
Country	:	US
Telephone Number	:	888-879-9786
Fax Number	:	888-511-3073

Provider Business Practice Location Address
First Line	:	555 MARRIOTT DR STE 315
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37214-5088
Country	:	US
Telephone Number	:	888-879-9786
Fax Number	:	615-647-0748

Authorized Official
Title or Position	:	PRESIDENT & CEO
Name	:	JUSTIN WARREN LANNING
Credential	:
Telephone Number	:	615-549-5506

Provider Enumeration Date	:	06/21/2017
Last Update Date	:	06/07/2024

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Directions to “180 HEALTH PARTNERS , INC ” Practice Location

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