Provider Demographics
NPI:1871928242
Name:BANDEL, NANCY
Entity type:Individual
Prefix:
First Name:NANCY
Middle Name:
Last Name:BANDEL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3592 RABBIT RUN TRAIL
Mailing Address - Street 2:
Mailing Address - City:ADAMS
Mailing Address - State:TN
Mailing Address - Zip Code:37010
Mailing Address - Country:US
Mailing Address - Phone:931-368-0061
Mailing Address - Fax:
Practice Address - Street 1:35 CROSSLAND AVE
Practice Address - Street 2:STE A
Practice Address - City:CLARKSVILLE
Practice Address - State:TN
Practice Address - Zip Code:37040-8753
Practice Address - Country:US
Practice Address - Phone:615-863-1702
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-04
Last Update Date:2021-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health