NPIMap

Organization Active NPI

LL&S Behavioral Health Services

  • Community/Behavioral Health Agency
  • Murfreesboro, TN
National Provider Identifier
1083892012
Registry record updated Dec 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
000189998 Issued in TN
Legal business name
LL&S BEHAVIORAL HEALTH SERVICES
Practice address
935 Contessa Dr
Murfreesboro, TN 37128-4276
Phone
(615) 573-9089
Fax
(615) 868-4477
NPI assigned
Jan 31, 2008
Organization subpart
Yes
Parent organization
LL&S BEHAVIORAL HEALTH SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 11, 2018

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

Authorized official

Name
Mr. Todd Anthony Lark, Sr Sr., CSWNPI 1124598511
Title
Executive Director / Ceo
Phone
(615) 573-9089

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X 000189998 TN
Community/Behavioral Health Agency 251S00000X 000189998 TN Primary

Addresses

Primary practice location

935 Contessa Dr
Murfreesboro, TN 37128-4276

Mailing address

935 Contessa Dr
Murfreesboro, TN 37128-4276
Phone (615) 573-9089

Other identifiers 1

IdentifierTypeStateIssuer
1503964MedicaidTN

Other names 1

  • Todd A. Lark, Sr. Doing business as

National Provider Directory

National Provider Directory
Part of
LLS Behavioral Health Services

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1201737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1544486400000",
    "number": "1083892012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "935 CONTESSA DR",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371284276",
            "telephone_number": "615-573-9089",
            "fax_number": "615-868-4477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "935 CONTESSA DR",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371284276",
            "telephone_number": "615-573-9089",
            "fax_number": "615-868-4477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LL&S BEHAVIORAL HEALTH SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LL&S BEHAVIORAL HEALTH SERVICES",
        "enumeration_date": "2008-01-31",
        "last_updated": "2018-12-11",
        "status": "A",
        "authorized_official_last_name": "LARK, SR",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR / CEO",
        "authorized_official_telephone_number": "615-573-9089",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "CSW"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "TN",
            "license": "000189998",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "TN",
            "license": "000189998",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1503964",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Todd A. Lark, Sr.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Todd A. Lark, Sr.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Murfreesboro, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2018; 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.