La Paloma Treatment Center, Llc is a Substance Abuse Rehabilitation Facility based in Brentwood, TN. La Paloma Treatment Center, Llc practices in Memphis, TN. The NPI Number for La Paloma Treatment Center, Llc is 1689674368 and holds a License No. I 2(14)M2-077-9751 (Tennessee).
The current practice location address for La Paloma Treatment Center, Llc is 2009 Lamar Avenue, Memphis, TN and can be reached out via phone at 615-345-3217 and via fax at 615-373-4656.
Location: 2009 Lamar Avenue, Memphis, TN, 37027
Provider Profile Details
NPI Number
1689674368
Provider Name
La Paloma Treatment Center, Llc
Credential
Provider Entity Type
Organization
Address
2009 Lamar Avenue, Memphis, TN, 37027
Phone Number
615-345-3217
Fax Number
615-373-4656
Provider Enumeration Date
07/26/2005
Last Update Date
03/12/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3105734 | 01 | TN | BCBST PROVIDER ID |
Provider Business Practice Location Address Details
Address
2009 Lamar Avenue
City
State
Zip
38114-2138
Phone Number
615-345-3217
Fax Number
615-373-4656
Provider Business Mailing Address Details
Address
2009 Lamar Avenue
City
State
Zip
38114-2138
Phone Number
615-345-3217
Fax Number
615-373-4656
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
License No.
L 217-017-6471 (Tennessee)
Definition
Definition to come...
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
License No.
L000000010053 (Tennessee)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rehabilitation, Substance Use Disorder
Taxonomy
License No.
0000000032 (Tennessee)
Definition
Definition to come...
Provider's Taxonomy Details 4
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Mental Illness
Speciality
-
Taxonomy
License No.
0000000109 (Tennessee)
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
Provider's Taxonomy Details 5
Type
Residential Treatment Facilities
Classification
Psychiatric Residential Treatment Facility
Speciality
-
Taxonomy
License No.
L 2(14)M3-017-6472 (Tennessee)
Definition
A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient's surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary
Provider's Taxonomy Details 6
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
License No.
I 2(14)M2-077-9751 (Tennessee)
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
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