IndividualActive
Lastacia Peele
NPI 1194144238 · Mental Illness Community Based Residential Treatment Facility · Clarksville, TN
Provider details
- NPI number
- 1194144238
- Entity type
- Individual
- Primary specialty
- Mental Illness Community Based Residential Treatment FacilityResidential Treatment Facilities
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Residential Treatment Facilities
Practice location
118 Union St
Clarksville, TN 37040-5115
Phone: (931) 647-8257
Fax: (931) 647-8257
Approximate (ZIP-level) locationGet directions
Mailing address
410 Ambrose Dr
Clarksville, TN 37042-5101
Registry dates
- Enumerated
- 2014-04-15
- Last updated
- 2014-04-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.