MEDICARE: TENNESSEE MENTAL HEALTH CONSUMERS' ASSOCIATION

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	251S00000X	Community/Behavioral Health Agency		TN

General Provider Information

NPI Number	:	1952505265
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TENNESSEE MENTAL HEALTH CONSUMERS' ASSOCIATION

Provider Business Mailing Address
First Line	:	955 WOODLAND ST
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37206-3753
Country	:	US
Telephone Number	:	615-250-1176
Fax Number	:	615-383-1176

Provider Business Practice Location Address
First Line	:	955 WOODLAND ST
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37206-3753
Country	:	US
Telephone Number	:	615-250-1176
Fax Number	:	615-383-1176

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	MR. AMTHONY K FOX
Credential	:
Telephone Number	:	615-250-1176

Provider Enumeration Date	:	06/12/2007
Last Update Date	:	09/24/2008

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