Provider Demographics
NPI:1063796431
Name:THE LINK CENTER, INC.
Entity type:Organization
Organization Name:THE LINK CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JASON
Authorized Official - Middle Name:THOMAS
Authorized Official - Last Name:LINK
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:615-601-6087
Mailing Address - Street 1:6978 LEBANON RD STE F
Mailing Address - Street 2:
Mailing Address - City:MOUNT JULIET
Mailing Address - State:TN
Mailing Address - Zip Code:37122-7201
Mailing Address - Country:US
Mailing Address - Phone:615-601-6078
Mailing Address - Fax:615-453-5318
Practice Address - Street 1:6978 LEBANON RD STE F
Practice Address - Street 2:
Practice Address - City:MOUNT JULIET
Practice Address - State:TN
Practice Address - Zip Code:37122-7201
Practice Address - Country:US
Practice Address - Phone:615-601-6078
Practice Address - Fax:615-453-5318
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-04
Last Update Date:2011-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN1000000008823323P00000X, 324500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility
No323P00000XResidential Treatment FacilitiesPsychiatric Residential Treatment Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN5441757Medicare PIN