# OMNI COMMUNITY HEALTH

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

## Provider details

- **NPI number:** 1730238155
- **Authorized official:** MARK JUST (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (615) 726-3603

## Contact information

- **Practice address:** 1420 W. BADDOUR PARKWAY, SUITE 240, LEBANON, TN 37087-1510
- **Practice address phone:** (615) 453-1606
- **Practice address fax:** (615) 453-1607
- **Mailing address:** 301 S PERIMETER PARK DRIVE, SUITE 210, NASHVILLE, TN 37211-4128
- **Mailing address phone:** (615) 726-3603
- **Mailing address fax:** (615) 827-0421

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | L 214-017-3652 | TN | Yes |
| 104100000X | Social Worker | L 214-017-3652 | TN | — |
| 106H00000X | Marriage & Family Therapist | L 214-017-3652 | TN | — |
| 163WC1500X | Community Health Registered Nurse | L 214-017-3652 | TN | — |
| 164W00000X | Licensed Practical Nurse | L 214-017-3652 | TN | — |
| 2084P0800X | Psychiatry Physician | L 214-017-3652 | TN | — |
| 251B00000X | Case Management Agency | L 214-017-3652 | TN | — |
| 363LF0000X | Family Nurse Practitioner | L 214-017-3652 | TN | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | L 214-017-3652 | TN | — |

## Other

- **Enumeration date:** 01/09/2007
- **Last updated:** 09/02/2020