Amani Therapy Services LLC
Organization Active NPI Clinical Social Worker · Lakeland, TN
NPI 1760265359 · NPPES record last updated Aug 16, 2023
Key facts
- NPI
- 1760265359
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Social Worker 1041C0700X
- Legal business name
- AMANI THERAPY SERVICES LLC
- Practice address
- 2989 Woodland Ash CV
Lakeland, TN 38002-3834 - Phone
- (808) 224-7954
- NPI assigned
- Aug 16, 2023
- Organization subpart
- No
Authorized official
- Name
- Mr. David M. Nabea, LCSW
- Title
- Ceo
- Phone
- (808) 495-1211
Practitioners 1
-
David Michubu Nabea, LCSW
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250428000981 | TN | Part B Supplier - Clinic/Group Practice | 0547786147 |
Receives reassigned benefits from 1 practitioner Practice locations: Lakeland, TN |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker |
1041C0700X | Yes |
Addresses
Primary practice location
2989 Woodland Ash CV
Lakeland, TN 38002-3834
Mailing address
2989 Woodland Ash CV
Lakeland, TN 38002-3834
Phone (808) 224-7954
Other providers in Lakeland, TN
- Laurie Lynette Lehuanani Bagwell
- Emily Grace Bailey
- Diosdado A Barawid Jr.
- Resa Saturday Barawid
- Regina Nichols Barker
All providers in Lakeland, TN · Clinical Social Worker in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 16, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.