Individual provider · Type 1 NPI

Lastacia Peele

Mental Illness Community Based Residential Treatment Facility · Clarksville, TN

NPI number 1194144238 Active

Practice location

118 Union St
Clarksville, TN 37040-5115

Call (931) 647-8257 Map

Fax (931) 647-8257

Mailing address

410 Ambrose Dr
Clarksville, TN 37042-5101

Specialties and licenses

TaxonomyCodeLicense
Mental Illness Community Based Residential Treatment Facility Primary 320800000XNone listed

Mental Illness Community Based Residential Treatment Facility: A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

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About NPI 1194144238

Lastacia Peele's National Provider Identifier is 1194144238, issued on Apr 15, 2014. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in Clarksville, TN. The record was last updated on Apr 15, 2014.