Lark, Sr., Todd Anthony
Lark, Sr., Todd Anthony is an sole proprietor health care provider with primary practice located at 935 Contessa Dr , Murfreesboro TN 37128-4276. He recently has 6 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / School, Other Service Providers / Case Manager/Care Coordinator. Behavioral Health & Social Service Providers / School is his primary health care specialty. Lark, Sr., Todd Anthony can be contacted via phone (615) 573-9089.Contact Information
Primary practice address
935 Contessa Dr
Murfreesboro TN 37128-4276
Phone: (615) 573-9089
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | 000189998 | Tennessee |
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 000189998 | Tennessee |
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | 000189998 | Tennessee |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 000189998 | Tennessee |
| Behavioral Health & Social Service Providers / School | 1041S0200X | 000189998 | Tennessee |
| Other Service Providers / Case Manager/Care Coordinator | 171M00000X | 000189998 | Tennessee |
| Behavioral Health & Social Service Providers / School | 101YS0200X | 000189998 | Tennessee |
Profile Details
| NPI number | 1124598511 |
|---|---|
| LBN Legal business name | Lark, Sr., Todd Anthony |
| Credentials | Certified Social Worker (CSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 28th, 2018 |
| Last updated | Nov 28th, 2018 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1124598511 | NPPES |
| Tennessee | MEDICAID | 1503964 |
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