INNA N LYONS (NPI# 1629504980) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629504980 |
| Entity Type | Individual |
| Full Name | INNA N LYONS |
| Other Name | MS. INNA N SOLDATENKOVA/ARTEMOVA |
| Credential | MSW,SWP |
| Practice Address |
332 Sumner Hall Dr Gallatin TN 37066-3129 |
| Practice Telephone | 7712514172 |
| Mailing Telephone | 7192514172 |
| Enumeration Date | 2017-05-05 |
| Last Update Date | 2020-10-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | Residential Treatment Facilities |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 216 E Routt Ave, Pueblo, CO 810042120 | 7192514172 |
| Street Address |
332 SUMNER HALL DR |
| City | GALLATIN |
| State | TN |
| Zip Code | 37066-3129 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649382797 | Christy Costanza | Nurse Practitioner | 332 Sumner Hall Dr, Gallatin, TN 37066-3129 | 2006-08-31 |
| 1548860422 | Richard Whitt | Counselor | 332 Sumner Hall Dr, Gallatin, TN 37066-3129 | 2020-10-29 |
| 1407473770 | Bailee Murray | Social Worker | 332 Sumner Hall Dr, Gallatin, TN 37066-3129 | 2020-07-02 |
| 1861016925 | Terry L. Maddox | Case Manager/Care Coordinator | 332 Sumner Hall Dr, Gallatin, TN 37066-3129 | 2020-06-04 |
| 1760005565 | Alexis Ann Weber | Case Manager/Care Coordinator | 332 Sumner Hall Dr, Gallatin, TN 37066-3129 | 2020-05-27 |
| 1740815356 | Susan Swink Akers | Community Health Worker | 332 Sumner Hall Dr, Gallatin, TN 37066-3129 | 2020-03-04 |
| 1184267692 | Stacey Anne Pearce | Counselor | 332 Sumner Hall Dr, Gallatin, TN 37066-3129 | 2019-10-28 |
| 1033760269 | Margaret Ellen Gibbs | Registered Nurse | 332 Sumner Hall Dr, Gallatin, TN 37066-3129 | 2019-09-29 |
| 1205485968 | Emily Anne Susan | Community Health Worker | 332 Sumner Hall Dr, Gallatin, TN 37066-3129 | 2019-09-05 |
| 1962057646 | Benjamin N Leven | Registered Nurse | 332 Sumner Hall Dr, Gallatin, TN 37066-3129 | 2019-08-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336748235 | Results-ast Jv, LLC | Physical Therapist | 110 St. Blaise Road, Suite 101, Gallatin, TN 37066 | 2020-10-21 |
| 1306445531 | Results-ast Jv, LLC | Physical Therapist | 132 North Belvedere Dr, Gallatin, TN 37066 | 2020-10-19 |
| 1063065969 | Tennessee Dental Professionals PC | Dentist | 2069 Nashville Pike, Gallatin, TN 37066 | 2019-07-19 |
| 1912478108 | Jason Holland | Psychologist | 106 Public Sq Ste 105, Gallatin, TN 37066 | 2018-12-16 |
| 1619463148 | Perkins Greenlea LLC | Pharmacy | 879 Greenlea Blvd, Suite 101, Gallatin, TN 37066 | 2018-07-09 |
| 1316432792 | Ann Elizabeth Willert | Counselor | 322 Sumner Hall Drive, Gallatin, TN 37066 | 2018-06-27 |
| 1255852661 | Samantha Jo Kelly | Dentist | 1710 Nashville Pike # 102, Gallatin, TN 37066 | 2017-07-06 |
| 1265880470 | Mallory Jane Hackbarth | Dentist | 923 Nashville Pike A, Gallatin, TN 37066 | 2016-05-27 |
| 1124493697 | Jennifer Stroud | Counselor | 273 Big Station Camp Blvd, 30-206, Gallatin, TN 37066 | 2015-12-09 |
| 1982075651 | Lacefield Enterprises, Inc | Speech-Language Pathologist | 1010 Broughton Place, Gallatin, TN 37066 | 2015-10-07 |
| Find all providers in zip 37066 | ||||
| Taxonomy Code | 322D00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Emotionally Disturbed Children |
| A provider facility or distinct part of the organization which renders an interdisciplinary program of mental health treatment to individuals under 21 years of age who have persistent dysfunction in major life areas. The dysfunction is of an extent and pervasiveness that requires a protected and highly structured therapeutic environment. These organizations, or distinct part of organizations, exclude those that provide acute psychiatric care, partial hospitalization, group living, therapeutic schooling, primary diagnosis substance abuse disorder treatment, or primary diagnosis mental retardation or developmental disability treatment. |
| Notes: Source: U.S. Department of Defense Regulation 6010.8-R, Chapter 6. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831645100 | Bobby Winbush | Residential Treatment Facility, Emotionally Disturbed Children | 1167 Parkland Rd, Memphis, TN 38111 | 2016-08-28 |
| 1043663495 | Tennessee Children's Home | Residential Treatment Facility, Emotionally Disturbed Children | 8550 Harold Duncan Way, Knoxville, TN 37931 | 2016-07-21 |
| 1447536875 | Children's Bureau Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 868 N Manassas St, Memphis, TN 38107-2516 | 2011-10-31 |
| 1588973309 | Lamont Ingram Developmental Organization | Residential Treatment Facility, Emotionally Disturbed Children | 437 Riverside Dr, Jackson, TN 38301-5720 | 2010-09-28 |
| 1073820130 | Tennessee Children's Home | Residential Treatment Facility, Emotionally Disturbed Children | 804 Branham Hughes Circle, Springhill, TN 37174-2623 | 2010-09-09 |
| 1629307046 | Arthur Lee Robinson | Residential Treatment Facility, Emotionally Disturbed Children | 5425 Meadowick Ave, Memphis, TN 38115-3643 | 2009-12-14 |
| 1861687899 | The Agency for Youth and Family Development | Residential Treatment Facility, Emotionally Disturbed Children | 1071 Mullins Station Rd, Memphis, TN 38134-7723 | 2007-09-12 |
| 1427132786 | Parkwest Medical Center | Residential Treatment Facility, Emotionally Disturbed Children | 2341 Jones Bend Rd, Louisville, TN 37777 | 2006-10-24 |
| 1164417465 | Cassandra Woodruff Youth Center | Residential Treatment Facility, Emotionally Disturbed Children | 605 Hemphill Cir, Chattanooga, TN 37411-2912 | 2005-09-13 |
| 1558916213 | Youth Villages, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 7410 Memphis Arlington Rd, Memphis, TN 38135-1908 | 2019-08-08 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.