Provider Demographics
NPI:1992933220
Name:NAMI TENNESSEE
Entity type:Organization
Organization Name:NAMI TENNESSEE
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:SITA
Authorized Official - Middle Name:M
Authorized Official - Last Name:DIEHL
Authorized Official - Suffix:
Authorized Official - Credentials:MA, MSSW
Authorized Official - Phone:615-361-6608
Mailing Address - Street 1:1101 KERMIT DR
Mailing Address - Street 2:SUITE 605
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37217-2126
Mailing Address - Country:US
Mailing Address - Phone:615-361-6608
Mailing Address - Fax:615-361-6698
Practice Address - Street 1:1101 KERMIT DR
Practice Address - Street 2:SUITE 605
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37217-2126
Practice Address - Country:US
Practice Address - Phone:615-361-6608
Practice Address - Fax:615-361-6698
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-25
Last Update Date:2009-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health