JOURNEYPURE WALNUT HOUSE LLC NPI 1417329053

NPI Information

NPI: 1417329053
Provider Name: JOURNEYPURE WALNUT HOUSE LLC
Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization
Address:
116 N WALNUT ST
MURFREESBORO, TN
ZIP 37130
Phone: (615) 714-0483
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JOURNEYPURE WALNUT HOUSE LLC is a substance abuse rehabilitation facility in Murfreesboro, TN. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. JOURNEYPURE WALNUT HOUSE LLC NPI is 1417329053. The provider is registered as an organization entity type.

The provider's business location address is:

116 N WALNUT ST
MURFREESBORO, TN
ZIP 37130-522
Phone: (615) 714-0483

The provider's authorized official is Samuel A Macmaster .
The authorized official title is Chief Clinical Officer and has the following contact phone number (615) 545-7266.

The enumeration date for this NPI number is 10/22/2015 and was last updated on 10/22/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	1000000017205	TENNESSEE	No
2	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder	1000000017205	TENNESSEE	No
3	324500000X	Substance Abuse Rehabilitation Facility		1000000017205	TENNESSEE	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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