Provider Demographics
NPI:1811529480
Name:KARUNA THERAPY SOLUTIONS LLC
Entity type:Organization
Organization Name:KARUNA THERAPY SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DAWN
Authorized Official - Middle Name:
Authorized Official - Last Name:DUCOTE
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:615-669-6621
Mailing Address - Street 1:PO BOX 60971
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37206-0971
Mailing Address - Country:US
Mailing Address - Phone:615-669-6621
Mailing Address - Fax:
Practice Address - Street 1:754 LYNWOOD AVE
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37203-5030
Practice Address - Country:US
Practice Address - Phone:615-669-6621
Practice Address - Fax:615-647-8789
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-11
Last Update Date:2021-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN4234OtherLICENSE
LA6049OtherLCSW
IN99040662AOtherLCSW