Mic's Place, Inc.

NPI #1518244813 in Antioch, Tennessee

Provider Information

NPI Number: 1518244813
Entity Type: Organization
Organization Name: Mic's Place, Inc.
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Nov 15, 2011
Last Updated: Jan 8, 2026

Practice Location

Address: 8295 TOURNAMENT DR
Address 2: STE 150
City: Antioch
State: Tennessee
ZIP Code: 37013-3117
Phone: (615) 617-4173

Authorized Official

Name: NICOLE L BARNES
Title: DIRECTOR OF OPERATIONS
Phone: (615) 617-4173

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
In Home Supportive Care	253Z00000X
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320900000X	Primary

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