Provider Demographics
NPI:1669016952
Name:SMYRNA PSYCHIATRY LLC
Entity Type:Organization
Organization Name:SMYRNA PSYCHIATRY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CREDENTIALING
Authorized Official - Prefix:
Authorized Official - First Name:LYNN
Authorized Official - Middle Name:
Authorized Official - Last Name:HARB
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-790-7992
Mailing Address - Street 1:713 PRESIDENT PL STE A
Mailing Address - Street 2:
Mailing Address - City:SMYRNA
Mailing Address - State:TN
Mailing Address - Zip Code:37167-5652
Mailing Address - Country:US
Mailing Address - Phone:615-790-7992
Mailing Address - Fax:615-790-8688
Practice Address - Street 1:713 PRESIDENT PL STE A
Practice Address - Street 2:
Practice Address - City:SMYRNA
Practice Address - State:TN
Practice Address - Zip Code:37167-5652
Practice Address - Country:US
Practice Address - Phone:615-790-7992
Practice Address - Fax:615-790-8688
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-30
Last Update Date:2019-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty