Provider Demographics
NPI:1043626393
Name:TENNESSEE COMMUNITY & COURT SERVICES INC
Entity Type:Organization
Organization Name:TENNESSEE COMMUNITY & COURT SERVICES INC
Other - Org Name:TCCS, INC
Other - Org Type:Other Name
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:DENISE
Authorized Official - Middle Name:
Authorized Official - Last Name:SIGLERGIBSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:901-465-0055
Mailing Address - Street 1:13060 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:SOMERVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:38068-1421
Mailing Address - Country:US
Mailing Address - Phone:901-465-0055
Mailing Address - Fax:901-284-0090
Practice Address - Street 1:13060 N MAIN ST
Practice Address - Street 2:
Practice Address - City:SOMERVILLE
Practice Address - State:TN
Practice Address - Zip Code:38068-1421
Practice Address - Country:US
Practice Address - Phone:901-465-0055
Practice Address - Fax:901-284-0090
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-08
Last Update Date:2014-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN100000000011621251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health