Provider Demographics
NPI:1396535902
Name:KUGELMAS SAUER DE ARRUDA, THIAGO
Entity type:Individual
Prefix:MR
First Name:THIAGO
Middle Name:
Last Name:KUGELMAS SAUER DE ARRUDA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4487 POST PL APT 168
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37205-1621
Mailing Address - Country:US
Mailing Address - Phone:813-804-0358
Mailing Address - Fax:
Practice Address - Street 1:95 WHITE BRIDGE PIKE STE 400
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37205-1426
Practice Address - Country:US
Practice Address - Phone:615-570-1190
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-07
Last Update Date:2025-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN83-3040261OtherMENTAL HEALTH SERVICE