Organization
OMNI COMMUNITY HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK JUST (CHIEF EXECUTIVE OFFICER)
(615) 726-3603
Entity
Organization
Contact information
Practice address
1420 W. BADDOUR PARKWAY, SUITE 240, LEBANON, TN 37087-1510
(615) 453-1606
(615) 453-1607
Mailing address
301 S PERIMETER PARK DRIVE, SUITE 210, NASHVILLE, TN 37211-4128
(615) 726-3603
(615) 827-0421
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
L 214-017-3652
TN
104100000X
Social Worker
L 214-017-3652
TN
106H00000X
Marriage & Family Therapist
L 214-017-3652
TN
163WC1500X
Community Health Registered Nurse
L 214-017-3652
TN
164W00000X
Licensed Practical Nurse
L 214-017-3652
TN
2084P0800X
Psychiatry Physician
L 214-017-3652
TN
251B00000X
Case Management Agency
L 214-017-3652
TN
363LF0000X
Family Nurse Practitioner
L 214-017-3652
TN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
L 214-017-3652
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3376955
—
TN
05
—
Q019925
—
TN
Enumeration date
01/09/2007
Last updated
09/02/2020
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