# DIDS MIDDLE TN RESOURCE CENTER

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** TENNESSEE DEPARTMENT OF INTELLECTUAL & DEV. DISABILITIES
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1104107101
- **Legal business name:** TENNESSEE DEPARTMENT OF INTELLECTUAL & DEV. DISABILITIES
- **Authorized official:** DR. LEVI HARRIS PHD (DIRECTOR)
- **Authorized official phone:** (615) 231-5048

## Contact information

- **Practice address:** 275 STEWARTS FERRY PIKE, NASHVILLE, TN 37214-3325
- **Practice address phone:** (615) 231-5047
- **Mailing address:** 275 STEWARTS FERRY PIKE, NASHVILLE, TN 37214-3325
- **Mailing address phone:** (615) 231-5047

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103T00000X | Psychologist | — | NULL | — |
| 103T00000X | Psychologist | — | — | — |
| 122300000X | Dentist | — | NULL | — |
| 122300000X | Dentist | — | — | — |
| 124Q00000X | Dental Hygienist | — | NULL | — |
| 124Q00000X | Dental Hygienist | — | — | — |
| 126800000X | Dental Assistant | — | NULL | — |
| 126800000X | Dental Assistant | — | — | — |
| 132700000X | Dietary Manager | — | NULL | — |
| 132700000X | Dietary Manager | — | — | — |
| 172A00000X | Driver | — | NULL | — |
| 172A00000X | Driver | — | — | — |
| 174400000X | Specialist | — | NULL | — |
| 174400000X | Specialist | — | — | — |
| 207QA0505X | Adult Medicine Physician | — | NULL | Yes |
| 207QA0505X | Adult Medicine Physician | — | — | Yes |
| 224Z00000X | Occupational Therapy Assistant | — | NULL | — |
| 224Z00000X | Occupational Therapy Assistant | — | — | — |
| 225100000X | Physical Therapist | — | NULL | — |
| 225100000X | Physical Therapist | — | — | — |
| 225200000X | Physical Therapy Assistant | — | NULL | — |
| 225200000X | Physical Therapy Assistant | — | — | — |
| 225X00000X | Occupational Therapist | — | NULL | — |
| 225X00000X | Occupational Therapist | — | — | — |
| 227800000X | Certified Respiratory Therapist | — | NULL | — |
| 227800000X | Certified Respiratory Therapist | — | — | — |
| 227900000X | Registered Respiratory Therapist | — | NULL | — |
| 227900000X | Registered Respiratory Therapist | — | — | — |
| 235Z00000X | Speech-Language Pathologist | — | NULL | — |
| 235Z00000X | Speech-Language Pathologist | — | — | — |

## Other

- **Enumeration date:** 09/02/2011
- **Last updated:** 09/02/2011