Epiphany Wellness Tennessee LLC

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

EPIPHANY WELLNESS TENNESSEE LLC

Practice address

145 Anderson LN Ste a
Hendersonville, TN 37075-3915

Phone

(615) 490-9263

Fax

(772) 873-9997

NPI assigned

Feb 22, 2023

Organization subpart

No

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

Authorized official

Name

Steven Ryan Hetrick

Title

Ceo

Phone

(772) 353-1410

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

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

• Erika Steinbrenner, MD

  • Psychiatry Physician
  • Palos Heights, IL
  • NPI 1235592494
  NPD (past)

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

{
    "created_epoch": "1677024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677024000000",
    "number": "1992403547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 ANDERSON LN STE A",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370753915",
            "telephone_number": "615-490-9263",
            "fax_number": "772-873-9997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 ANDERSON LN STE A",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370753915",
            "telephone_number": "615-490-9263",
            "fax_number": "772-873-9997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EPIPHANY WELLNESS TENNESSEE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-22",
        "last_updated": "2023-02-22",
        "certification_date": "2023-02-22",
        "status": "A",
        "authorized_official_last_name": "HETRICK",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "RYAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "772-353-1410"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stanley Embree, DPM
• Amanda Lynn Embry
• Jennifer Embry
• Emi II Inc.
• Enhanced Physiotherapy and Performance
• Casey Epting
• Jessica Taylor Epting, PA
• McKenna Erickson
• Warren D Ervin, MD
• Tasha Dayhoff Escue, M.A; LPC-MHSP

• Substance Use Disorder Rehabilitation Clinic/Center in Hendersonville, TN
• Providers in Hendersonville, TN by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.