Provider Demographics
NPI:1831397645
Name:CAMELOT CARE CENTERS, LLC
Entity type:Organization
Organization Name:CAMELOT CARE CENTERS, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF ACCOUNTS
Authorized Official - Prefix:MS
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:SPANN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-533-5800
Mailing Address - Street 1:446 JAMES ROBERTSON PKWY STE 201
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37219-1533
Mailing Address - Country:US
Mailing Address - Phone:615-533-5800
Mailing Address - Fax:
Practice Address - Street 1:446 JAMES ROBERTSON PKWY STE 201
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37219-1533
Practice Address - Country:US
Practice Address - Phone:615-370-4228
Practice Address - Fax:615-370-4959
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-03
Last Update Date:2024-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health