Doctor Name: | SAMANTHA MARIE ORBKE |
NPI Number: | 1306177290 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 1708 Acklen Ave #5 Nashville, TN - 372123829 |
Business Phone Number: | 9016198276 |
Business Fax Number: | |
Mailing Address: | 1708 Acklen Ave, #5 NASHVILLE |
State: | TN |
Postal Code: | 372123829 |
Phone Number: | 9016198276 |
Fax Number: | |
NPI Enumeration Date: | 01/17/2010 |
NPI Last Update Date: | 01/17/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 320800000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Residential Treatment Facilities |
Taxonomy Classification: | Community Based Residential Treatment Facility, Mental Illness |
Taxonomy Specialization: | |
Taxonomy Definition: | A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |