Donnelly, Justin

Donnelly, Justin is an individual health care provider with primary practice located at 135 Quita Cir Apt B , Lebanon TN 37087-4440. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Other Service Providers / Case Manager/Care Coordinator, Other Service Providers / Peer Specialist. Other Service Providers / Peer Specialist is his primary health care specialty. Donnelly, Justin can be contacted via phone (615) 955-1729.

Contact Information

Primary practice address
135 Quita Cir Apt B Lebanon TN 37087-4440
Phone: (615) 955-1729
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Other Service Providers / Case Manager/Care Coordinator 171M00000X Tennessee
Other Service Providers / Peer Specialist 175T00000X 000-1205 Tennessee

Profile Details

NPI number 1861853657
LBN Legal business name Donnelly, Justin
Credentials M.S.
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 8th, 2016
Last updated Aug 6th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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