| NPI | 1114583770 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2019-05-18 |
| Last Updated | 2019-05-18 |
| Authorized Official | Renee Burwell CEO Phone: 6153756896 |
| Mailing Address | 223 Madison St Ste 102 Madison, TN 37115-3660 United States Phone: (615) 375-6896 📍 View Map |
| Primary Practice Address | 223 Madison St Ste 102 Madison, TN 37115-3660 United States Phone: (615) 375-6896 📍 View Map |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 101YM0800X – Counselor, Mental Health | - | - |
| No | 101YP2500X – Counselor, Professional | - | - |
| No | 106H00000X – Marriage & Family Therapist | - | - |
| No | 163WP0808X – Registered Nurse, Psych/Mental Health | - | - |
| Yes | 1041C0700X – Social Worker, Clinical | - | - |
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About NPI 1114583770
Pandoras Awakening is an organization registered in the CMS NPPES NPI Registry with NPI number 1114583770. The primary specialty listed is Social Worker, Clinical. The organization is located in Madison, TN. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2019-05-18. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1114583770?
NPI 1114583770 belongs to Pandoras Awakening, a Social Worker, Clinical in Madison, TN. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1114583770 active?
The current status of NPI 1114583770 in the NPPES registry is Active. The record was last updated on 2019-05-18.
What specialty is NPI 1114583770?
NPI 1114583770 is classified under the taxonomy Social Worker, Clinical. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1114583770?
You can verify NPI 1114583770 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1114583770?
The primary practice address on file for NPI 1114583770 is 223 Madison St Ste 102, Madison, TN 37115-3660. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1114583770 issued?
NPI 1114583770 was first issued (enumerated) on 2019-05-18. The NPPES record was last updated on 2019-05-18.
Practice Location Map
Pandoras Awakening is located at 223 Madison St Ste 102, Madison, TN. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Pandoras Awakening. All records sourced from the CMS NPPES registry.