Provider Demographics
NPI:1831761733
Name:SPRING CREEK MENTAL HEALTH SERVICES
Entity type:Organization
Organization Name:SPRING CREEK MENTAL HEALTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PMHNP-BC
Authorized Official - Prefix:
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:
Authorized Official - Last Name:AVENT
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:615-708-4950
Mailing Address - Street 1:2197 NOLENSVILLE PIKE APT 201
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37211-2098
Mailing Address - Country:US
Mailing Address - Phone:615-708-4950
Mailing Address - Fax:
Practice Address - Street 1:2197 NOLENSVILLE PIKE APT 201
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37211-2098
Practice Address - Country:US
Practice Address - Phone:615-708-4950
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-12
Last Update Date:2021-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty