Provider Demographics
NPI:1558864512
Name:TENNESSEE DEPARTMENT OF HUMAN SERVICES
Entity Type:Organization
Organization Name:TENNESSEE DEPARTMENT OF HUMAN SERVICES
Other - Org Name:TENNESSEE DISABILITY DETERMINATION SECTION
Other - Org Type:Other Name
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:STANFIELD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-743-7584
Mailing Address - Street 1:200 ATHENS WAY
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37228-1308
Mailing Address - Country:US
Mailing Address - Phone:800-972-0617
Mailing Address - Fax:615-253-1840
Practice Address - Street 1:200 ATHENS WAY
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37228-1308
Practice Address - Country:US
Practice Address - Phone:800-972-0617
Practice Address - Fax:615-253-1840
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TENNESSEE DEPARTMENT OF HUMAN SERVICES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-03-15
Last Update Date:2018-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management