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LIVING WATER PREVENTION PROGRAM FACILITY NPI 1184852048


NPI Information

NPI: 1184852048
Provider Name: LIVING WATER PREVENTION PROGRAM FACILITY
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
959 OLD COOKEVILLE RD
SPARTA, TN
ZIP 38583
Phone: (931) 738-8102
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LIVING WATER PREVENTION PROGRAM FACILITY is a mental health (including community mental health center) clinic center in Sparta, TN. LIVING WATER PREVENTION PROGRAM FACILITY NPI is 1184852048. The provider is registered as an organization entity type.

The provider's business location address is:

959 OLD COOKEVILLE RD
SPARTA, TN
ZIP 38583-616
Phone: (931) 738-8102

The provider's authorized official is Linda Caskey .
The authorized official title is Sec-treas and has the following contact phone number (931) 738-8102.

The enumeration date for this NPI number is 6/30/2009 and was last updated on 6/30/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)I000000004501TENNESSEEYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024
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