Organization
IAC ASSOCIATES PLLC
Active
Other names
Vertava Health Outpatient - Oak Court Memphis, Vertava Health Outpatient - Murfreesboro, Vertava Health Outpatient - Green Hills Nashville, Vertava Health Outpatient - Midtown Nashville, Hamm & Blackstock PLLC, IAC Associates PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA A. BAILEY (VP, RCM AND PAYOR RELATIONS)
(972) 935-1409
Entity
Organization
Contact information
Practice address
6401 POPLAR AVE STE 500, MEMPHIS, TN 38119-4808
(901) 746-9438
(941) 746-9331
Mailing address
6101 W PLANO PKWY STE 230, PLANO, TX 75093-8373
(940) 360-4245
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
207QA0401X
Addiction Medicine (Family Medicine) Physician
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03401509
—
MS
05
—
Q048108
—
TN
Enumeration date
12/18/2018
Last updated
04/09/2025
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