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Organization

PERKINS-JANICEK PSYCHIATRIC GROUP, PLLC

Active
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Organization

PERKINS-JANICEK PSYCHIATRIC GROUP, PLLC

Active
Other names
Premier Psychiatric Services
Organization subpart
No

Provider details

NPI number
Authorized official
ANGELA TIDWELL JANICEK (APRN/CO-OWNER)
(615) 239-1404
Entity
Organization

Contact information

Practice address
120 TWO MILE PIKE, GOODLETTSVILLE, TN 37072-1832
(615) 239-1404
(615) 900-2716
Mailing address
120 TWO MILE PIKE, GOODLETTSVILLE, TN 37072-1832
(615) 239-1404
(615) 900-2716

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
NULL
101Y00000X
Counselor
—
—
2084P0800X
Psychiatry Physician
—
NULL
2084P0800X
Psychiatry Physician
—
—
363A00000X
Physician Assistant
—
NULL
363A00000X
Physician Assistant
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—

Other

Enumeration date
01/08/2024
Last updated
11/20/2025
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