Provider Demographics
NPI:1881216257
Name:ENHANCED POTENTIAL
Entity Type:Organization
Organization Name:ENHANCED POTENTIAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:HEIDI
Authorized Official - Middle Name:
Authorized Official - Last Name:SNOW-WITZEMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-809-3563
Mailing Address - Street 1:1123A GREENLAND AVE
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37216-2219
Mailing Address - Country:US
Mailing Address - Phone:615-809-3563
Mailing Address - Fax:
Practice Address - Street 1:1123A GREENLAND AVE
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37216-2219
Practice Address - Country:US
Practice Address - Phone:615-596-6974
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-08
Last Update Date:2022-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health