| Adjuvant Behavioral Health Inc | |
|
3200 W End Ave Ste 500-564 Nashville TN 37203-1330 | |
| (866) 912-2746 | |
| (800) 420-2305 |
| Full Name | Adjuvant Behavioral Health Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 3200 W End Ave Ste 500-564, Nashville, Tennessee |
| Authorized Official Name and Position | Elizabeth Myers (CONTRACT CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 8669122746 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Adjuvant Behavioral Health Inc 11754 Jollyville Rd Ste 110 Austin TX 78759-3948 Ph: (866) 912-2746 | Adjuvant Behavioral Health Inc 3200 W End Ave Ste 500-564 Nashville TN 37203-1330 Ph: (866) 912-2746 |
| NPI Number | 1760244545 |
|---|---|
| Provider Enumeration Date | 01/26/2024 |
| Last Update Date | 09/26/2024 |
| Certification Date | 09/26/2024 |
| Medicare PECOS PAC ID | 2860865557 |
|---|---|
| Medicare Enrollment ID | O20240319003454 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760244545 | NPI | - | NPPES |
| Provider Name | Amy Root |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528577707 PECOS PAC ID: 4981960473 Enrollment ID: I20240319003555 |
| Provider Name | Karen Elaine Horn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902563125 PECOS PAC ID: 8224498886 Enrollment ID: I20240807004057 |
| Provider Name | Jennifer Lynn Farmer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1558086074 PECOS PAC ID: 4688106412 Enrollment ID: I20241017000885 |
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