Provider Demographics
NPI:1831109446
Name:TN DEPT OF MENTAL HEALTH AND DEVELOPMENTAL DISABILITIES
Entity type:Organization
Organization Name:TN DEPT OF MENTAL HEALTH AND DEVELOPMENTAL DISABILITIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DEPUTY COMMISSIONER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:W
Authorized Official - Last Name:CAROBENE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-532-6500
Mailing Address - Street 1:425 5TH AVE N
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37243-0675
Mailing Address - Country:US
Mailing Address - Phone:615-532-6500
Mailing Address - Fax:
Practice Address - Street 1:425 5TH AVE N
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37243-0675
Practice Address - Country:US
Practice Address - Phone:615-532-6500
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes283Q00000XHospitalsPsychiatric Hospital