Provider Demographics
NPI:1629315841
Name:STARS NASHVILLE
Entity Type:Organization
Organization Name:STARS NASHVILLE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:LISA
Authorized Official - Middle Name:DON
Authorized Official - Last Name:BELL
Authorized Official - Suffix:
Authorized Official - Credentials:BA, LADAC
Authorized Official - Phone:615-983-6809
Mailing Address - Street 1:1704 CHARLOTTE AVE
Mailing Address - Street 2:SUITE 200
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37203-2972
Mailing Address - Country:US
Mailing Address - Phone:615-279-0058
Mailing Address - Fax:615-279-0056
Practice Address - Street 1:1704 CHARLOTTE AVE
Practice Address - Street 2:SUITE 200
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37203-2972
Practice Address - Country:US
Practice Address - Phone:615-279-0058
Practice Address - Fax:615-279-0056
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-08
Last Update Date:2013-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNL000000011126251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health