National Provider Identifier Database

REFORM PSYCHIATRY LLC
Mental Health (Including Community Mental Health Center)


Contact Information

REFORM PSYCHIATRY LLC
433 NISSAN DR STE 301
SMYRNA, TN37167
Phone: 615-751-0347
Fax: 615-249-5162
Website:
Specialty Taxonomy Code
* Mental Health (Including Community Mental Health Center) 261QM0801X

* Indicates primary specialty

NPI Profile & details for REFORM PSYCHIATRY LLC

NPI Number 1417510363
Legal business name
LBN
REFORM PSYCHIATRY LLC
Authorized official JEMIMA MENSAH - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 04/16/2019
Last updated 07/01/2019 - About 7 years ago
Sole proprietor1 Not specified
Identifiers
  • TN Medicaid: Q049227

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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