# VERTREES CLINICAL GROUP, PLLC

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

## Provider details

- **NPI number:** 1790131340
- **Authorized official:** THOMAS VERTREES (MANAGING MEMBER)
- **Authorized official phone:** (615) 784-4056

## Contact information

- **Practice address:** 1550 N MOUNT JULIET RD STE 104, MT JULIET, TN 37122-3786
- **Practice address phone:** (615) 784-4056
- **Practice address fax:** (615) 858-1500
- **Mailing address:** PO BOX 464, LEBANON, TN 37088-0464
- **Mailing address phone:** (615) 784-4056
- **Mailing address fax:** (615) 858-1500

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 19298 | TN | Yes |

## Other

- **Enumeration date:** 05/12/2016
- **Last updated:** 10/20/2023