Provider Demographics
NPI:1336475581
Name:WELLNESS SOLUTIONS OF TENNESSEE LLC
Entity Type:Organization
Organization Name:WELLNESS SOLUTIONS OF TENNESSEE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:
Authorized Official - Last Name:SCESA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-673-6737
Mailing Address - Street 1:73 WHITE BRIDGE RD # 103-243
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37205-1444
Mailing Address - Country:US
Mailing Address - Phone:615-673-6737
Mailing Address - Fax:615-296-4567
Practice Address - Street 1:2323 21ST AVE S STE 306
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37212-4930
Practice Address - Country:US
Practice Address - Phone:615-673-6737
Practice Address - Fax:615-296-4567
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:WELLNESS SOLUTIONS, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-10-22
Last Update Date:2009-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty