Madison Psychiatric Assts, P.c. | |
803 Meadowlark Ln Goodlettsville TN 37072-2307 | |
(615) 859-6414 | |
(615) 859-6419 |
Full Name | Madison Psychiatric Assts, P.c. |
---|---|
Speciality | Counselor - Mental Health |
Location | 803 Meadowlark Ln, Goodlettsville, Tennessee |
Authorized Official Name and Position | A K M Fakhruddin (PRESIDENT) |
Authorized Official Contact | 6158596414 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Madison Psychiatric Assts, P.c. 803 Meadowlark Ln Goodlettsville TN 37072-2307 Ph: (615) 859-6414 | Madison Psychiatric Assts, P.c. 803 Meadowlark Ln Goodlettsville TN 37072-2307 Ph: (615) 859-6414 |
NPI Number | 1245375906 |
---|---|
Provider Enumeration Date | 02/20/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1245375906 | NPI | - | NPPES |
3730751 | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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