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Contact Information

SOUTHERN ANGELS COMPREHENSIVE SUPPORT GROUP LLC
4243 LEBANON PIKE STE C
HERMITAGE, TN37076-2170
 Phone: 615-600-5107
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Speech-Language Pathologist

235Z00000X 15 Speech Language Pathologist
 

Behavior Analyst

103K00000X
 

Case Manager/Care Coordinator

171M00000X
 

Clinical Child & Adolescent

103TC2200X 62 Psychologist, Clinical
 

Intellectual & Developmental Disabilities

103TM1800X 62 Psychologist, Clinical
 

Professional

101YP2500X
 

Psychologist

103T00000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for SOUTHERN ANGELS COMPREHENSIVE SUPPORT GROUP LLC

NPI # 1467323592
LBN Legal business name SOUTHERN ANGELS COMPREHENSIVE SUPPORT GROUP LLC
Authorized official VANNA ANDERSON - (OWENER/CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 09/12/2025
Last updated 09/12/2025 - About 9 months ago
Identifiers n/a
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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