TM Collaborative Network LLC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Legal business name

TM COLLABORATIVE NETWORK LLC

Practice address

1138 N Germantown Pky
Suite 101 - #283
Cordova, TN 38016

Phone

(509) 435-6699

NPI assigned

Mar 18, 2025

Last updated

Mar 18, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Carolynn Mathis, LMSW, LADACII, QCS

Title

Managed Member

Phone

(509) 435-6699

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1742256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742256000000",
    "number": "1659171635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1138 N GERMANTOWN PKY",
            "address_2": "SUITE 101 - #283",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "38016",
            "telephone_number": "509-435-6699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1138 N GERMANTOWN PKY",
            "address_2": "SUITE 101 - #283",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "38016",
            "telephone_number": "509-435-6699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TM COLLABORATIVE NETWORK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-18",
        "last_updated": "2025-03-18",
        "certification_date": "2025-03-18",
        "status": "A",
        "authorized_official_last_name": "MATHIS",
        "authorized_official_first_name": "CAROLYNN",
        "authorized_official_title_or_position": "MANAGED MEMBER",
        "authorized_official_telephone_number": "509-435-6699",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMSW, LADACII, QCS"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timber Creek Medical
• Lisa P Timberlake, PHARMD
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• Annalyse W Tinnin, MD
• Detra Michelle Tisdale, M.D.
• Nishelle Todd, BT
• Emily Tolbert, PHARMD
• Nicolette Delores Tomblyn, RN
• Johan Antonio Torres Galvan
• Trista Torres, LSSW

• Addiction (Substance Use Disorder) Counselor in Cordova, TN
• Providers in Cordova, TN by specialty
• Addiction (Substance Use Disorder) Counselor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2025; 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.