Provider Demographics
NPI:1184196990
Name:TENNESSEE FAMILY SOLUTIONS, INC
Entity type:Organization
Organization Name:TENNESSEE FAMILY SOLUTIONS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:RALPH
Authorized Official - Middle Name:MARSHALL
Authorized Official - Last Name:KENNEDY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-255-8870
Mailing Address - Street 1:831 SEVEN OAKS BLVD
Mailing Address - Street 2:
Mailing Address - City:SMYRNA
Mailing Address - State:TN
Mailing Address - Zip Code:37167-6485
Mailing Address - Country:US
Mailing Address - Phone:615-904-6033
Mailing Address - Fax:
Practice Address - Street 1:831 SEVEN OAKS BLVD
Practice Address - Street 2:
Practice Address - City:SMYRNA
Practice Address - State:TN
Practice Address - Zip Code:37167-6485
Practice Address - Country:US
Practice Address - Phone:615-904-6033
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TENNESSEE FAMILY SOLUTIONS, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-12-19
Last Update Date:2020-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult MedicineGroup - Single Specialty