| NPI | 1487126272 |
|---|---|
| Former Legal Business Name | HAMM & BLACKSTOCK PLLC |
| Doing Business As | VERTAVA HEALTH OUTPATIENT - OAK COURT MEMPHIS |
| Doing Business As | VERTAVA HEALTH OUTPATIENT - GREEN HILLS NASHVILLE |
| Doing Business As | IAC ASSOCIATES PLLC |
| Doing Business As | VERTAVA HEALTH OUTPATIENT - MIDTOWN NASHVILLE |
| Doing Business As | VERTAVA HEALTH OUTPATIENT - MURFREESBORO |
| Entity Type | Organization |
| Authorized Contact | MARINA JO MAHONEY VP Of Rcm And Payor Relations 951-560-2877 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 207QA0401X Family Medicine, Addiction Medicine | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry | |
| 251S00000X | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2018-12-18 |
| Last Update Date | 2024-06-10 |