INTEGRATIVE LIFE CENTER
NPI 1396052825
Clinic/Center - Rehabilitation, Substance Use Disorder in Nashville, TN

Active since September 03, 2010CLIA 44D2033054 · Waiver
1104 16TH AVE S, NASHVILLE, TN 37212(615) 891-2226(615) 915-3813 Get Directions Write a Review

NPPES record last updated: September 17, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Integrative Life Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

INTEGRATIVE LIFE CENTER (NPI 1396052825) is a healthcare organization registered as a rehabilitation, substance use disorder in Nashville, Tennessee and active in the NPI registry since September 2010. The organization holds a CLIA Waiver certificate valid through November 21, 2027 and lists Kathryn Reynolds, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1396052825
Entity TypeOrganization
Primary Taxonomy261QR0405X
Legal Business NameINTEGRATIVE LIFE CENTER
Location Address1104 16TH AVE SNashville, TN 37212-2305
Mailing Address1104 16th Ave SNashville, TN 37212-2305 · (615) 891-2226 · Fax (615) 915-3813
Fax(615) 915-3813
Organization SubpartNo
Authorized OfficialKathryn ReynoldsExecutive Director · (615) 739-2276
Enumeration DateSeptember 3, 2010
Last NPPES UpdateSeptember 17, 2024
NPPES CertifiedSeptember 17, 2024
NPI 1396052825 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyClinic/Center · Rehabilitation, Substance Use DisorderAmbulatory Health Care Facilities
Taxonomy Code261QR0405X
License Licensed in TN · 1000000006277
Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X · License 1000000006277 (TN)
1104 16TH AVE S, Nashville, TN 37212

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 44D2033054

Integrative Life Center · Nashville, TN
Active · expires Nov 21, 2027
CLIA Number44D2033054
Laboratory TypeSubstance Dependence Iop
Certificate Effective DateNovember 22, 2025
Certificate Expiration DateNovember 21, 2027
Laboratory DirectorDr. Daniel Barton
Laboratory Phone(615) 891-2226
Laboratory LocationIntegrative Life Center1104 16th Ave South, Nashville, TN 37212
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dietitian, Registered
1104 16TH AVE S
NASHVILLE, TN 37212

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Integrative Life Center's NPI number?

The NPI number for Integrative Life Center is 1396052825. It was assigned to this organization in the NPPES registry on September 3, 2010.

Where is Integrative Life Center located?

Integrative Life Center is located at 1104 16th Ave S, Nashville, TN 37212. The listed phone number is (615) 891-2226.

What is Integrative Life Center's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.

Does Integrative Life Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D2033054) is associated with this NPI, valid through November 21, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Integrative Life Center accept?

Health plans from BlueCross BlueShield of Tennessee list Integrative Life Center as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Integrative Life Center was last updated on September 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.