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COFFEE ASSOCIATES A MEDICAL MANAGEMENT ORGANIZATION LLC NPI 1760926075


NPI Information

NPI: 1760926075
Provider Name: COFFEE ASSOCIATES A MEDICAL MANAGEMENT ORGANIZATION, LLC

Doing Business As: RAPHA CENTRE

Classification: Social Worker - 1041C0700X
Entity Type: Organization

Specialization: Clinical

Address:
482 INTERSTATE DR
SUITE D
MANCHESTER, TN
ZIP 37355
Phone: (931) 444-1000
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COFFEE ASSOCIATES A MEDICAL MANAGEMENT ORGANIZATION, LLC is a clinical social worker in Manchester, TN. The provider is a social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. COFFEE ASSOCIATES A MEDICAL MANAGEMENT ORGANIZATION, LLC NPI is 1760926075. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Rapha Centre.

The provider's business location address is:

482 INTERSTATE DR
SUITE D
MANCHESTER, TN
ZIP 37355-485
Phone: (931) 444-1000
Fax: (931) 450-8256

The provider's authorized official is Joseph Clifton Chester .
The authorized official title is Executive Director and has the following contact phone number (931) 444-1000.

The enumeration date for this NPI number is 12/6/2016 and was last updated on 12/6/2016.


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
1101YP2500XCounselorProfessional3079TENNESSEENo
21041C0700XSocial WorkerClinicalLSW000000003614TENNESSEEYes

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: 5/5/2024

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