Provider Demographics
NPI:1124494059
Name:TENNESSEE DEPARTMENT OF CHILDREN'S SERVICES
Entity type:Organization
Organization Name:TENNESSEE DEPARTMENT OF CHILDREN'S SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DEPUTY COMMISSIONER
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:JOHN
Authorized Official - Last Name:CULL
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:615-741-4404
Mailing Address - Street 1:436 6TH AVE N
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37243-9004
Mailing Address - Country:US
Mailing Address - Phone:615-741-4404
Mailing Address - Fax:
Practice Address - Street 1:436 6TH AVE N
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37243-9004
Practice Address - Country:US
Practice Address - Phone:615-741-4404
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-14
Last Update Date:2015-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare