Provider Demographics
NPI:1912955121
Name:SLEEP SOLUTIONS OF TENNESSEE, LLC
Entity Type:Organization
Organization Name:SLEEP SOLUTIONS OF TENNESSEE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:
Authorized Official - Last Name:CLAYTON
Authorized Official - Suffix:
Authorized Official - Credentials:RRT
Authorized Official - Phone:931-528-7449
Mailing Address - Street 1:315 N WASHINGTON AVE
Mailing Address - Street 2:SUITE 260
Mailing Address - City:COOKEVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:38501-2603
Mailing Address - Country:US
Mailing Address - Phone:931-528-7449
Mailing Address - Fax:931-528-8015
Practice Address - Street 1:315 N WASHINGTON AVE
Practice Address - Street 2:SUITE 260
Practice Address - City:COOKEVILLE
Practice Address - State:TN
Practice Address - Zip Code:38501-2603
Practice Address - Country:US
Practice Address - Phone:931-528-7449
Practice Address - Fax:931-528-8015
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-04
Last Update Date:2007-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3791453Medicaid
TN3791453Medicaid