Midtn Integrative Therapeutics, LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

MIDTN INTEGRATIVE THERAPEUTICS, LLC

Practice address

440 Park Ave Ste D
Lebanon, TN 37087-3665

Phone

(518) 817-3462

NPI assigned

Apr 11, 2025

Organization subpart

No

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

Authorized official

Name

Mr. Brent Edward Farris

Title

Owner

Phone

(518) 817-3462

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Emily Perrotto, FNP-BC, PMHNP-BC

  • Primary Care Nurse Practitioner
  • Mount Juliet, TN
  • NPI 1376134288
  NPD (past)

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

{
    "created_epoch": "1744329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744329600000",
    "number": "1851186720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 LOWELL CT",
            "city": "OLD HICKORY",
            "state": "TN",
            "postal_code": "371381244",
            "telephone_number": "518-817-3462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 PARK AVE STE D",
            "city": "LEBANON",
            "state": "TN",
            "postal_code": "370873665",
            "telephone_number": "518-817-3462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDTN INTEGRATIVE THERAPEUTICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-11",
        "last_updated": "2025-04-11",
        "certification_date": "2025-04-11",
        "status": "A",
        "authorized_official_last_name": "FARRIS",
        "authorized_official_first_name": "BRENT",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "518-817-3462",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Middle Tennessee Behavioral Health
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• Middle Tennessee Occupational Medicine
• Middle Tennessee Pediatric Services, PLLC
• Midtenn Primary Care, LLC
• Elizabeth Miller, RBT
• Kathleen Elizabeth Miller
• Mitchell Manor Inc
• Cameron Wayne Mitchell, PHARMD.
• Charles Austin Mitchell Jr., MD

• Primary Care Clinic/Center in Lebanon, TN
• Providers in Lebanon, TN by specialty
• Primary Care Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 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.