# MADISON PSYCHIATRIC ASSTS, P.C.

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

## Provider details

- **NPI number:** 1245375906
- **Authorized official:** DR. A K M FAKHRUDDIN M.D. (PRESIDENT)
- **Authorized official phone:** (615) 859-6414

## Contact information

- **Practice address:** 803 MEADOWLARK LN, GOODLETTSVILLE, TN 37072-2307
- **Practice address phone:** (615) 859-6414
- **Practice address fax:** (615) 859-6419
- **Mailing address:** 803 MEADOWLARK LN, GOODLETTSVILLE, TN 37072-2307
- **Mailing address phone:** (615) 859-6414
- **Mailing address fax:** (615) 859-6419

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |

## Other

- **Enumeration date:** 02/20/2007
- **Last updated:** 08/22/2020