| Karuna Therapy Solutions Llc | |
|
754 Lynwood Ave Nashville TN 37203-5030 | |
| (615) 669-6621 | |
| (615) 647-8789 |
| Full Name | Karuna Therapy Solutions Llc |
|---|---|
| Speciality | Social Worker |
| Location | 754 Lynwood Ave, Nashville, Tennessee |
| Authorized Official Name and Position | Dawn Ducote (OWNER) |
| Authorized Official Contact | 6156696621 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Karuna Therapy Solutions Llc Po Box 60971 Nashville TN 37206-0971 Ph: (615) 669-6621 | Karuna Therapy Solutions Llc 754 Lynwood Ave Nashville TN 37203-5030 Ph: (615) 669-6621 |
| NPI Number | 1811529480 |
|---|---|
| Provider Enumeration Date | 02/11/2020 |
| Last Update Date | 01/22/2021 |
| Certification Date | 01/22/2021 |
| Medicare PECOS PAC ID | 9830528421 |
|---|---|
| Medicare Enrollment ID | O20200402001027 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811529480 | NPI | - | NPPES |
| 4234 | Other | TN | LICENSE |
| 6049 | Other | LA | LCSW |
| 99040662A | Other | IN | LCSW |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Dawn E. Ducote |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841310091 PECOS PAC ID: 3577725209 Enrollment ID: I20120425000674 |
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