Provider Demographics
NPI:1033835251
Name:INVICTA SERVICES GROUP
Entity Type:Organization
Organization Name:INVICTA SERVICES GROUP
Other - Org Name:INVICTA SERVICES GROUP
Other - Org Type:Other Name
Authorized Official - Title/Position:CLINICAL
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:RAYMOND
Authorized Official - Last Name:CURRAN
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:615-830-4964
Mailing Address - Street 1:334 46TH AVE N
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37209-3451
Mailing Address - Country:US
Mailing Address - Phone:615-830-4964
Mailing Address - Fax:888-582-6074
Practice Address - Street 1:334 46TH AVE N
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37209-3451
Practice Address - Country:US
Practice Address - Phone:615-830-4964
Practice Address - Fax:888-582-6074
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-19
Last Update Date:2023-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty