Individual provider · Type 1 NPI
Evan Ganick
Adult Mental Health Clinic/Center · Elmwood, TN
NPI number
1003562869
Active
Practice location
89 Ouchonder Rd
Elmwood, TN 38560-4232
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker | 1041C0700X | 115656 (NY) |
| Adult Mental Health Clinic/Center Primary | 261QM0850X | 115656 (NY) |
Adult Mental Health Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
About NPI 1003562869
Evan Ganick's National Provider Identifier is 1003562869, issued on Mar 1, 2022. The primary taxonomy on file is Adult Mental Health Clinic/Center (261QM0850X), and the practice location is in Elmwood, TN. The record was last updated on Mar 1, 2022.