| Shrinkty | |
|
2462 Old Fort Pkwy Murfreesboro TN 37128-4163 | |
| (615) 716-8255 | |
| Not Available |
| Full Name | Shrinkty |
|---|---|
| Speciality | Substance Abuse Rehabilitation Facility |
| Location | 2462 Old Fort Pkwy, Murfreesboro, Tennessee |
| Authorized Official Name and Position | Joshua Davenport (OWNER) |
| Authorized Official Contact | 6157168255 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Shrinkty 1222 Batbriar Rd Murfreesboro TN 37128-2982 Ph: (615) 716-8255 | Shrinkty 2462 Old Fort Pkwy Murfreesboro TN 37128-4163 Ph: (615) 716-8255 |
| NPI Number | 1568190890 |
|---|---|
| Provider Enumeration Date | 08/14/2022 |
| Last Update Date | 06/01/2026 |
| Certification Date | 06/01/2026 |
| Medicare PECOS PAC ID | 4082081518 |
|---|---|
| Medicare Enrollment ID | O20221112000051 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568190890 | NPI | - | NPPES |
| Provider Name | Prasad V Kondapavuluru |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1265538581 PECOS PAC ID: 5991799306 Enrollment ID: I20040409000033 |
| Provider Name | Cynthia R Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982748265 PECOS PAC ID: 7618076092 Enrollment ID: I20070626000437 |
| Provider Name | Beth Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710151113 PECOS PAC ID: 3072680024 Enrollment ID: I20080917000644 |
| Provider Name | Mary E Phillips |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609016005 PECOS PAC ID: 0042369050 Enrollment ID: I20090521000647 |
| Provider Name | Jennifer Lee Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417209941 PECOS PAC ID: 7719122845 Enrollment ID: I20130320000674 |
| Provider Name | Joshua G Davenport |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1982297180 PECOS PAC ID: 5991114084 Enrollment ID: I20210430000865 |
| Provider Name | Louis R Lerebours |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851821649 PECOS PAC ID: 7315320231 Enrollment ID: I20220810001215 |
| Provider Name | Araceli M Davenport |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1316653538 PECOS PAC ID: 1658728290 Enrollment ID: I20231103001545 |
| Provider Name | Alexandra Marquese Mayes |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1669096152 PECOS PAC ID: 2466998893 Enrollment ID: I20240722003911 |
| Provider Name | Michael R Racki |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1225371917 PECOS PAC ID: 4688161201 Enrollment ID: I20251016001093 |
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Mid South Psychiatric Associates Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1830 Heritage Park Plz, Murfreesboro, TN 37129 Phone: 615-895-8104 Fax: 615-895-7903 |
Behavior Analysis and Management Solutions Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5238 Starnes Dr, Murfreesboro, TN 37128 Phone: 615-512-6876 |
Victorious Care LLC Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 437 Indian Park Dr, Murfreesboro, TN 37128 Phone: 325-276-7132 |
Prosthetic and Orthotic Therapy Specialists Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1024 N Highland Ave Ste B, Murfreesboro, TN 37130 Phone: 678-449-0199 Fax: 678-449-0199 |