Azaela Trace Assisted Living

LBN: Tt & S Family Foundation Inc
Azaela Trace Assisted Living is an health care organization with primary practice located at 319 Plus Park Blvd , Nashville TN 37217-1098. The organization recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Mental Health is the primary health care specialty. Tt & S Family Foundation Inc can be contacted via phone (615) 915-4074, or through Dees-Johnson, Thelma via phone 61591504074.

Contact Information

Primary practice address
319 Plus Park Blvd Nashville TN 37217-1098
Phone: (615) 915-4074
Fax: (615) 942-6342
Website:
Map and Directions
Authorized official contact:
Name: Dees-Johnson, Thelma
Phone: 61591504074

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 2111 Tennessee
Behavioral Health & Social Service Providers / Professional 101YP2500X 2111 Tennessee
Behavioral Health & Social Service Providers / Social Worker 104100000X 3847 Tennessee
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 2111 Tennessee

Profile Details

NPI number 1447532205
LBN Legal business name Tt & S Family Foundation Inc
DBA Doing business as Azaela Trace Assisted Living
Authorized official Dees-Johnson, Thelma
Entity Organization
Organization subpart 1 No
Enumeration date Sep 16th, 2011
Last updated Jun 4th, 2013 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447532205 NPPES
Tennessee MEDICAID H445718
Tennessee MEDICAID 5442020

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