| The Jenkins Center Llc | |
|
300 Fairlane Dr Lafayette TN 37083-1709 | |
| (615) 688-9504 | |
| (615) 688-9503 |
| Full Name | The Jenkins Center Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 300 Fairlane Dr, Lafayette, Tennessee |
| Authorized Official Name and Position | Kimberly Renee Hale (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 6156700602 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Jenkins Center Llc 300 Fairlane Dr Lafayette TN 37083-1709 Ph: (615) 670-0602 | The Jenkins Center Llc 300 Fairlane Dr Lafayette TN 37083-1709 Ph: (615) 688-9504 |
| NPI Number | 1770321127 |
|---|---|
| Provider Enumeration Date | 07/18/2024 |
| Last Update Date | 07/18/2024 |
| Certification Date | 07/18/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770321127 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
Wellspring, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 300 Fairlane Dr, Lafayette, TN 37083 Phone: 615-688-9504 Fax: 615-688-9503 |