NPI 1194144238
Lastacia Peele
Practice location
- Address
- 118 Union St, Clarksville, TN 37040-5115
- Phone
- (931) 647-8257
- Fax
- (931) 647-8257
- Mailing address
- 410 Ambrose Dr, Clarksville, TN 37042-5101
Registered specialties
Mental Illness Community Based Residential Treatment Facility
Primary
Registry record
- NPI
- 1194144238
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 15 Apr 2014
- Record last updated
- 15 Apr 2014
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.