Provider Demographics
NPI:1396215810
Name:HANBLECEYA NASHVILLE, LLC
Entity Type:Organization
Organization Name:HANBLECEYA NASHVILLE, LLC
Other - Org Name:BRIGHTQUEST TREATMENT CENTERS NASHVILLE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:WESLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:STEPHENSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:619-820-0034
Mailing Address - Street 1:7918 EL CAJON BLVD, STE N227
Mailing Address - Street 2:
Mailing Address - City:LA MESA
Mailing Address - State:CA
Mailing Address - Zip Code:91942
Mailing Address - Country:US
Mailing Address - Phone:615-630-2065
Mailing Address - Fax:
Practice Address - Street 1:300 35TH AVE N
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37209-3921
Practice Address - Country:US
Practice Address - Phone:615-933-5466
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-27
Last Update Date:2023-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes323P00000XResidential Treatment FacilitiesPsychiatric Residential Treatment Facility