Organization Active NPI

Efc,LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Cookeville, TN
National Provider Identifier
1891291118
Registry record updated Apr 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
1000000021008 Issued in TN
Legal business name
EFC,LLC
Practice address
845 W Jackson St
Cookeville, TN 38501-5940
Phone
(931) 273-7900
NPI assigned
Apr 4, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2018

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

Authorized official

Name
Brandi D Lawson, MBA
Title
Executive Director
Phone
(931) 273-7900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 1000000021008 TN Primary

Addresses

Primary practice location

845 W Jackson St
Cookeville, TN 38501-5940

Mailing address

723 W Jackson St
Cookeville, TN 38501-3993
Phone (931) 520-1977

Other identifiers 1

IdentifierTypeStateIssuer
Q033896MedicaidTN

National Provider Directory

National Provider Directory
Tax ID family
Efcllc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

845 W Jackson St
Cookeville, TN 38501
Phone (931) 273-7900

NPI Registry JSON

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

{
    "created_epoch": "1522800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522800000000",
    "number": "1891291118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "723 W JACKSON ST",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385013993",
            "telephone_number": "931-520-1977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "845 W JACKSON ST",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385015940",
            "telephone_number": "931-273-7900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EFC,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-04",
        "last_updated": "2018-04-04",
        "status": "A",
        "authorized_official_last_name": "LAWSON",
        "authorized_official_first_name": "BRANDI",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "931-273-7900",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "TN",
            "license": "1000000021008",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q033896",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cookeville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 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.