# LONGEVITY PSYCHIATRIC HEALTH & WELLNESS,LLC

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

## Provider details

- **NPI number:** 1740129840
- **Authorized official:** MARGARET OLIVER APN (OWNER)
- **Authorized official phone:** (629) 276-3917

## Contact information

- **Practice address:** 122 NICKOLAS CIR, LEBANON, TN 37087-1380
- **Practice address phone:** (629) 276-3917
- **Practice address fax:** (629) 910-9416
- **Mailing address:** 122 NICKOLAS CIR, LEBANON, TN 37087-1380
- **Mailing address phone:** (629) 276-3917
- **Mailing address fax:** (629) 910-9416

## 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:** 03/25/2026
- **Last updated:** 03/25/2026