NPIMap

Organization Active NPI

Pho LLC

  • Adult Mental Health Clinic/Center
  • Brentwood, TN
National Provider Identifier
1407341753
Registry record updated Jun 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
MH15135 Issued in FL
Legal business name
PHO LLC
Practice address
100 Winners Cir N Ste 120
Brentwood, TN 37027-5012
Phone
(205) 504-1587
NPI assigned
Jun 28, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2018

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

Authorized official

Name
Patrice Helene Hinton Oswalt, LPC MHSPNPI 1629245667
Title
LPC MHSP
Phone
(205) 504-1587

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X MH15135 FL Primary

Addresses

Primary practice location

100 Winners Cir N Ste 120
Brentwood, TN 37027-5012

Mailing address

6069 Frontier LN
Nashville, TN 37211-6220
Phone (205) 504-1587

National Provider Directory

National Provider Directory

Locations

100 Winners Cir N
Ste 120
Brentwood, TN 37027
Phone (205) 504-1587

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": "1530144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1530144000000",
    "number": "1407341753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6069 FRONTIER LN",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372116220",
            "telephone_number": "205-504-1587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 WINNERS CIR N STE 120",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370275012",
            "telephone_number": "205-504-1587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-28",
        "last_updated": "2018-06-28",
        "status": "A",
        "authorized_official_last_name": "HINTON OSWALT",
        "authorized_official_first_name": "PATRICE",
        "authorized_official_middle_name": "HELENE",
        "authorized_official_title_or_position": "LPC MHSP",
        "authorized_official_telephone_number": "205-504-1587",
        "authorized_official_credential": "LPC MHSP"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "FL",
            "license": "MH15135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brentwood, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 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.