Organization
LYONS GROUP NASHVILLE LLP
Active
Other names
Transformation Service
Organization subpart
No
Provider details
NPI number
Authorized official
JASMYNE LYONS PMHNP (CO-OWNER/DIRECTOR)
(615) 523-9933
Entity
Organization
Contact information
Practice address
1231 9TH AVE N, NASHVILLE, TN 37208-2552
(615) 523-9933
(615) 928-7050
Mailing address
1231 9TH AVE N, TRANSFORMATION SERVICES, NASHVILLE, TN 37208-2552
(615) 523-9933
(615) 928-7050
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
170678
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10350I5305
MEDICARE PTAN
TN
01
—
10370G3969
MEDICARE PTNN
TN
Enumeration date
04/30/2014
Last updated
04/29/2016
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