Basic Information
Provider Information
NPI: 1831628239
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: EIGHMIE
FirstName: LOREN
MiddleName: ASHLEY
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 424 CHURCH ST STE 2000
Address2:  
City: NASHVILLE
State: TN
PostalCode: 372193304
CountryCode: US
TelephoneNumber: 8558326727
FaxNumber: 7726759100
Practice Location
Address1: 424 CHURCH ST STE 2000
Address2:  
City: NASHVILLE
State: TN
PostalCode: 372193304
CountryCode: US
TelephoneNumber: 8558326727
FaxNumber: 7726759100
Other Information
ProviderEnumerationDate: 06/08/2017
LastUpdateDate: 08/16/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 08/16/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
106E00000X  N    
103K00000X625TNY Behavioral Health & Social Service ProvidersBehavioral Analyst 

No ID Information.


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