Coalesce Medical Services LLC
Community/Behavioral Health in Cookeville, TN. Organization (NPI-2).
NPI number1740862580
StatusActive
Last updated in NPPESJun 10, 2025
Details
- NPI
- 1740862580
- Entity type
- Organization (NPI-2)
- Legal business name
- Coalesce Medical Services LLC
- Organization subpart
- No
- Enumeration date
- Apr 21, 2021
- Certification date
- May 22, 2025
- Last updated
- Jun 10, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | – | – | Yes |
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – | |
| 261QR0400X | Clinic/Center, Rehabilitation | – | – | |
| 261QH0700X | Clinic/Center, Hearing and Speech | – | – |
Practice location
1696 West Broad StreetCookeville, TN 38501
Phone 931-486-3345
Mailing address
Po Box 104Baxter, TN 38544-0104
Authorized official
Kathryn Dubray
Ceo
9313222273
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