Organization · NPI-2
Depriest Center
Clinic/Center, Mental Health (Including Community Mental Health Center) · Murfreesboro, TN
NPI number1275018475
StatusActive
Last updated in NPPESApr 18, 2022
Details
- NPI
- 1275018475
- Entity type
- Organization (NPI-2)
- Legal business name
- Depriest Center
- Organization subpart
- No
- Enumeration date
- Oct 3, 2018
- Certification date
- Apr 18, 2022
- Last updated
- Apr 18, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – | Yes |
| 101YM0800X | Counselor, Mental Health | – | – | |
| 101YP2500X | Counselor, Professional | – | – | |
| 251S00000X | Community/Behavioral Health | – | – |
Practice location
208 Uptown SqMurfreesboro, TN 37129-0573
Phone 931-486-8670 · Fax 615-796-6911
Mailing address
1630 Haynes DrMurfreesboro, TN 37129-1069
Phone 931-581-0524 · Fax 615-809-2090
Authorized official
Deborah Ann Driggs
President
9315810524
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