Omni Community Health
Organization Active NPI Mental Health Clinic/Center (Including Community Mental Health Center) · Goodlettsville, TN
NPI 1316573199 · NPPES record last updated Sep 2, 2020
Key facts
- NPI
- 1316573199
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
- Legal business name
- OMNI COMMUNITY HEALTH
- Practice address
- 740 Conference Drive
Suite 101
Goodlettsville, TN 37072-2084 - Phone
- (615) 992-9082
- Fax
- (615) 781-0688
- NPI assigned
- Mar 12, 2020
- Organization subpart
- No
Authorized official
- Name
- Mark Just
- Title
- Chief Executive Officer
- Phone
- (615) 726-3603
Corporate family (same tax ID) 10
Practitioners 1
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 44D2217765 | Omni Community Health - Goodlettsville | Certificate of waiver | Mar 22, 2027 |
National Provider Directory
- Tax ID family
- Omni Community Health Inc
Locations
740 Conference Dr
Ste 101
Goodlettsville, TN 37072
Phone (615) 992-9082
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Yes |
Addresses
Primary practice location
740 Conference Drive
Suite 101
Goodlettsville, TN 37072-2084
Mailing address
301 S Perimeter Park Drive
Suite 210
Nashville, TN 37211-4128
Phone (615) 726-3603
Other providers in Goodlettsville, TN
- Ryan Michael Nix
- Northcreek Dental
- Angela Marie Nunn
- Gisela Olalde
- Karisse Olson
- On a Journey Counseling Center
- Open Minds Mental Health LLC
- Open Minds Mental Health Services
- Mable Osemwegie
- Kailea Padgett
All providers in Goodlettsville, TN · Mental Health Clinic/Center (Including Community Mental Health Center) in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 2, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.