Main Street Interventions

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

547 Issued in TN

Legal business name

MAIN STREET INTERVENTIONS

Practice address

100 N Main St
Dickson, TN 37055-1889

Phone

(615) 740-7100

Fax

(615) 740-8329

NPI assigned

Feb 27, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Patti Flores Pugh

Title

Owner

Phone

(615) 740-7100

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1488153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488153600000",
    "number": "1023558897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N MAIN ST",
            "city": "DICKSON",
            "state": "TN",
            "postal_code": "370551889",
            "telephone_number": "615-740-7100",
            "fax_number": "615-740-6959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N MAIN ST",
            "city": "DICKSON",
            "state": "TN",
            "postal_code": "370551889",
            "telephone_number": "615-740-7100",
            "fax_number": "615-740-8329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAIN STREET INTERVENTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-27",
        "last_updated": "2017-02-27",
        "status": "A",
        "authorized_official_last_name": "FLORES PUGH",
        "authorized_official_first_name": "PATTI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "615-740-7100"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "TN",
            "license": "547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rolland E Luplow, MD
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• Vinh Le Mai, PHARMD
• Treeah Majors, FNP-BC
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• Andrew Carl Mangrum, M.DIV.
• Heather Nicole Mangrum, FNP-C
• Kylie Mangrum, APRN

• Mental Health Counselor in Dickson, TN
• Providers in Dickson, TN by specialty
• Mental Health Counselor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.