Individual
DEBORAH D VINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2320 W END AVE, NASHVILLE, TN 37203-1784
(727) 313-1426
(615) 983-6975
Mailing address
1900 CHURCH ST STE 300, NASHVILLE, TN 37203-2285
(727) 313-1426
(615) 983-6975
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LSW0000004074
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2072152
CIGNA PROVIDER NUMBER
TN
01
—
265374000
MAGELLAN PROVIDER NUMBER
TN
01
—
4080157
BCBS PROVIDER NUMBER
TN
01
—
457801
VALUE OPTIONS PROVIDER #
TN
01
—
7239269
AETNA PROVIDER NUMBER
TN
Enumeration date
01/23/2007
Last updated
06/16/2018
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