Provider Demographics
NPI:1265976096
Name:GROUP EFFORT INC.
Entity type:Organization
Organization Name:GROUP EFFORT INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF BUSINESS
Authorized Official - Prefix:
Authorized Official - First Name:DEREK
Authorized Official - Middle Name:SHAROD
Authorized Official - Last Name:POTTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-499-4659
Mailing Address - Street 1:3441 LEBANON PIKE
Mailing Address - Street 2:SUITE 112 & 113
Mailing Address - City:HERMITAGE
Mailing Address - State:TN
Mailing Address - Zip Code:37076-2097
Mailing Address - Country:US
Mailing Address - Phone:615-499-4659
Mailing Address - Fax:615-216-2168
Practice Address - Street 1:3441 LEBANON PIKE
Practice Address - Street 2:SUITE 112 & 113
Practice Address - City:HERMITAGE
Practice Address - State:TN
Practice Address - Zip Code:37076-2097
Practice Address - Country:US
Practice Address - Phone:615-499-4659
Practice Address - Fax:615-216-2168
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-12-13
Last Update Date:2016-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNI000000019286251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health