REFORM PSYCHIATRY LLC; NPI #1417510363

Contact Information

REFORM PSYCHIATRY LLC

433 NISSAN DR STE 301
SMYRNA, TN 37167

Phone: 615-751-0347
Fax: 615-249-5162
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Mental Health (Including Community Mental Health Center)	261QM0801X	B4[14]	Community Mental Health Center

Indicates primary specialty

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NPI Profile & details for REFORM PSYCHIATRY LLC

NPI # 1417510363

LBN Legal business name REFORM PSYCHIATRY LLC

Authorized official JEMIMA MENSAH - (OWNER)

Entity Organization

Organization subpart ¹ No

Enumeration date 04/16/2019

Last updated 07/01/2019 - About 7 years ago

Identifiers

Medicaid

Q049227

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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