Gabriel, LLC

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

License

1000000003650 Issued in TN

Legal business name

GABRIEL, LLC

Practice address

142 N Wynridge Way
Goodlettsville, TN 37072-8843

Phone

(615) 834-3170

Fax

(615) 831-9203

NPI assigned

Feb 18, 2009

Organization subpart

No

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

Authorized official

Name

Dr. James T. Patterson

Title

Cfo

Phone

(615) 837-1153

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1234915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234915200000",
    "number": "1306085139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6097 WOODLAND HILLS DR",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372116227",
            "telephone_number": "615-837-1153",
            "fax_number": "615-831-9203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 N WYNRIDGE WAY",
            "city": "GOODLETTSVILLE",
            "state": "TN",
            "postal_code": "370728843",
            "telephone_number": "615-834-3170",
            "fax_number": "615-831-9203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GABRIEL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-18",
        "last_updated": "2009-02-18",
        "status": "A",
        "authorized_official_last_name": "PATTERSON",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "615-837-1153",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "TN",
            "license": "1000000003650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Jack Michael Friday, M.D.
• FTP Non Profit
• Charles Zachary Gammill, DC
• Daniel Geare, DMD
• Meredith Jeanne Gibbs
• Laura Elaine Gifford, AU.D.
• Alvin Tyrone Gilbert, PTA

• Mental Illness Community Based Residential Treatment Facility in Goodlettsville, TN
• Providers in Goodlettsville, TN by specialty
• Mental Illness Community Based Residential Treatment Facility in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2009; 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.