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Organization
FISHIELD BEHAVIORAL MEDICAL SVCS, INC.
Active
Organization
FISHIELD BEHAVIORAL MEDICAL SVCS, INC.
Active
Parent organization
FISHIELD CORP.
Other names
Fishield Corp.
Organization subpart
Yes
Provider details
NPI number
Legal business name
FISHIELD CORP.
Authorized official
MISS ROBERTA O FISHER (ASST. ADM)
(615) 366-9445
Entity
Organization
Contact information
Practice address
325 PLUS PARK BLVD, 101, NASHVILLE, TN 37217-1022
(615) 366-9445
(615) 732-0856
Mailing address
325 PLUS PARK BLVD, 101, NASHVILLE, TN 37217-1022
(615) 366-9445
(615) 732-0856
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
MD0000048598
TN
261QM0850X
Adult Mental Health Clinic/Center
1000000013308
TN
261QM0850X
Adult Mental Health Clinic/Center
L000000013307
TN
261QP2300X
Primary Care Clinic/Center
MD0000013877
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1528970
—
TN
Enumeration date
10/23/2013
Last updated
10/23/2013
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