Provider Demographics
NPI:1376231522
Name:TUNSTILL, RONELLIS
Entity Type:Individual
Prefix:
First Name:RONELLIS
Middle Name:
Last Name:TUNSTILL
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:442 METROPLEX DR STE 200
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37211-3112
Mailing Address - Country:US
Mailing Address - Phone:615-917-7437
Mailing Address - Fax:833-968-2944
Practice Address - Street 1:442 METROPLEX DR STE 200
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37211-3112
Practice Address - Country:US
Practice Address - Phone:615-917-7437
Practice Address - Fax:833-968-2944
Is Sole Proprietor?:No
Enumeration Date:2023-04-26
Last Update Date:2023-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional