# PURCARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** PurCare of Tennessee
- **Organization subpart:** No

## Provider details

- **NPI number:** 1942085881
- **Authorized official:** JUAWANA MONTGOMERY (VICE PRESIDENT)
- **Authorized official phone:** (689) 222-1538

## Contact information

- **Practice address:** 200 SIGNATURE PL, LEBANON, TN 37087-3281
- **Practice address phone:** (689) 222-1538
- **Mailing address:** 4701 TROUSDALE DR STE 211, NASHVILLE, TN 37220-1325
- **Mailing address phone:** (689) 222-1538

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | NULL | — |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | — | — |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |
| 103TA0400X | Addiction (Substance Use Disorder) Psychologist | — | NULL | — |
| 103TA0400X | Addiction (Substance Use Disorder) Psychologist | — | — | — |
| 163WP0808X | Psychiatric/Mental Health Registered Nurse | — | NULL | — |
| 163WP0808X | Psychiatric/Mental Health Registered Nurse | — | — | — |
| 2084P0800X | Psychiatry Physician | — | NULL | — |
| 2084P0800X | Psychiatry Physician | — | — | — |
| 261QA0600X | Adult Day Care Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 08/29/2023
- **Last updated:** 08/29/2023