Provider Demographics
NPI:1447530530
Name:PRECISION MENTAL HEALTH, LLC
Entity type:Organization
Organization Name:PRECISION MENTAL HEALTH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:USHA
Authorized Official - Middle Name:B
Authorized Official - Last Name:SWAMY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:901-737-1992
Mailing Address - Street 1:1175 VICKERY LN
Mailing Address - Street 2:100
Mailing Address - City:CORDOVA
Mailing Address - State:TN
Mailing Address - Zip Code:38016-0682
Mailing Address - Country:US
Mailing Address - Phone:901-737-1992
Mailing Address - Fax:901-309-8784
Practice Address - Street 1:1175 VICKERY LN
Practice Address - Street 2:100
Practice Address - City:CORDOVA
Practice Address - State:TN
Practice Address - Zip Code:38016-0682
Practice Address - Country:US
Practice Address - Phone:901-737-1992
Practice Address - Fax:901-309-8784
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-22
Last Update Date:2011-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty