# WOODBURY MENTAL HEALTH LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174392021
- **Authorized official:** TIFFANY MICHELLE TIMM (SELF)
- **Authorized official phone:** (615) 410-5762

## Contact information

- **Practice address:** 115 W MAIN ST, WOODBURY, TN 37190-1143
- **Practice address phone:** (615) 922-6782
- **Mailing address:** PO BOX 98, WOODBURY, TN 37190-0098
- **Mailing address phone:** (615) 410-5762

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 12/20/2023
- **Last updated:** 02/07/2024