Individual provider · Type 1 NPI

Jelessa Lashae Crosby-Powell

Mental Illness Community Based Residential Treatment Facility · Clarksville, TN

NPI number 1699202457 Active

Practice location

2010 Tynewood Dr
Clarksville, TN 37042-5284

Call (618) 501-7109 Map

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 1699202457

Jelessa Lashae Crosby-Powell's National Provider Identifier is 1699202457, issued on May 11, 2017. 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 May 11, 2017.