Rescue 1 Global

Primary specialty

Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X

License

I000000022237 Issued in TN

Legal business name

RESCUE 1 GLOBAL

Practice address

6688 Nolensville Road
Suite 108/167
Brentwood, TN 37027

Phone

(615) 348-7273

NPI assigned

Aug 28, 2018

Organization subpart

No

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

Authorized official

Name

Elizabeth Ann Walser

Title

Director of Therapy and Programming

Phone

(252) 287-9198

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1535414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1535414400000",
    "number": "1467933267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6688 NOLENSVILLE ROAD",
            "address_2": "SUITE 108/167",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "37027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6688 NOLENSVILLE ROAD",
            "address_2": "SUITE 108/167",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "37027",
            "telephone_number": "615-348-7273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESCUE 1 GLOBAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-28",
        "last_updated": "2018-08-28",
        "status": "A",
        "authorized_official_last_name": "WALSER",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "DIRECTOR OF THERAPY AND PROGRAMMING",
        "authorized_official_telephone_number": "252-287-9198"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "TN",
            "license": "I000000022237",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NO PROVIDER IDENTIFIERS YET",
            "identifier": "00000",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jordan Brooke Renfro, RBT
• Derek Renfroe, DMD
• Josh James Renkens, D.C.
• Replenish Counseling
• Jordan Resch, APRN
• Ethan Resetar
• Resilient Associates
• Results-Ast JV, LLC
• Results-Ast JV, LLC
• Results-Ast JV, LLC

• Adolescent and Children Mental Health Clinic/Center in Brentwood, TN
• Providers in Brentwood, TN by specialty
• Adolescent and Children Mental Health Clinic/Center in Tennessee

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