Provider Demographics
NPI:1760076871
Name:ADDICTION CENTER OF NASHVILLE LLC
Entity Type:Organization
Organization Name:ADDICTION CENTER OF NASHVILLE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:RUTH
Authorized Official - Middle Name:MARCIA
Authorized Official - Last Name:ROTHMAN
Authorized Official - Suffix:
Authorized Official - Credentials:PHARM-D
Authorized Official - Phone:931-548-3177
Mailing Address - Street 1:109 ZURIC CT
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37221-2119
Mailing Address - Country:US
Mailing Address - Phone:615-715-8769
Mailing Address - Fax:931-548-3177
Practice Address - Street 1:1770 HIGHWAY 59 STE 2
Practice Address - Street 2:
Practice Address - City:MANDEVILLE
Practice Address - State:LA
Practice Address - Zip Code:70448-1960
Practice Address - Country:US
Practice Address - Phone:985-231-3288
Practice Address - Fax:985-231-3288
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-01
Last Update Date:2021-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RA0401XAllopathic & Osteopathic PhysiciansInternal MedicineAddiction MedicineGroup - Single Specialty