Provider Demographics
NPI:1255516514
Name:THERAPEUTIC INTERVENTIONS INC.
Entity type:Organization
Organization Name:THERAPEUTIC INTERVENTIONS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATIVE ASSISTANCE
Authorized Official - Prefix:
Authorized Official - First Name:CECILIA
Authorized Official - Middle Name:L
Authorized Official - Last Name:CAMPBELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:931-520-4418
Mailing Address - Street 1:700 INVERNESS AVE
Mailing Address - Street 2:SUITE #204
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37204-2700
Mailing Address - Country:US
Mailing Address - Phone:615-457-2334
Mailing Address - Fax:615-457-2336
Practice Address - Street 1:700 INVERNESS AVE
Practice Address - Street 2:SUITE #204
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37204-2700
Practice Address - Country:US
Practice Address - Phone:615-457-2334
Practice Address - Fax:615-457-2336
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-07
Last Update Date:2011-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNP377103TB0200X, 103TF0000X, 103TM1800X, 103TP2701X, 103TS0200X, 103TC2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & AdolescentGroup - Multi-Specialty
No103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & BehavioralGroup - Multi-Specialty
No103TF0000XBehavioral Health & Social Service ProvidersPsychologistFamilyGroup - Multi-Specialty
No103TM1800XBehavioral Health & Social Service ProvidersPsychologistIntellectual & Developmental DisabilitiesGroup - Multi-Specialty
No103TP2701XBehavioral Health & Social Service ProvidersPsychologistGroup PsychotherapyGroup - Multi-Specialty
No103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchoolGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN5442226Medicaid