Organization
ICARUS ADDICTION CARE
Active
Other names
Icarus Addiction Care
Organization subpart
No
Provider details
NPI number
Authorized official
JANINE ARCHULETA (ADMINISTRATOR)
(615) 645-3013
Entity
Organization
Contact information
Practice address
3443 DICKERSON PIKE STE 310, NASHVILLE, TN 37207-2523
(615) 645-3013
(615) 621-3158
Mailing address
3443 DICKERSON PIKE STE 310, NASHVILLE, TN 37207-2523
(615) 645-3013
(615) 621-3158
Taxonomy
Speciality
Code
Description
License number
State
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
—
—
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
—
—
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q090333
—
TN
Enumeration date
02/20/2024
Last updated
06/02/2025
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