OrganizationActive
Integrative Life Center
NPI 1396052825 · Substance Use Disorder Rehabilitation Clinic/Center · Nashville, TN
Provider details
- NPI number
- 1396052825
- Entity type
- Organization
- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Kathryn Reynolds, Executive Director(615) 739-2276
- License
- 1000000006277 (TN)
Specialties & taxonomies
Ambulatory Health Care Facilities
Ambulatory Health Care Facilities
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1104 16th Ave S
Nashville, TN 37212-2305
Phone: (615) 891-2226
Fax: (615) 915-3813
Street-level locationGet directions
Mailing address
1104 16th Ave S
Nashville, TN 37212-2305
Registry dates
- Enumerated
- 2010-09-03
- Last updated
- 2024-09-17
- Certified
- 2024-09-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.