Organization · Type 2 NPI

Frontier Health

Mental Health Clinic/Center (Including Community Mental Health Center) · Bristol, TN

NPI number 1235291295 Active

Practice location

26 Midway St
Bristol, TN 37620-1706

Call (423) 989-4500 Map

Fax (423) 989-4582

Mailing address

PO Box 9054
Gray, TN 37615-9054

Specialties and licenses

Taxonomy	Code	License
Case Management Agency	251B00000X	L-214-076-1404 (TN)
Community/Behavioral Health Agency	251S00000X	L-214-076-1404 (TN)
Mental Health Clinic/Center (Including Community Mental Health Center) Primary	261QM0801X	L-214-076-1404 (TN)
Substance Use Disorder Rehabilitation Clinic/Center	261QR0405X	361 (TN)

Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...

56 other providers at this address

Other mental health clinic/center (including community mental health center) providers in Bristol

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NPI record

NPI: 1235291295
Entity type: Organization (Type 2)
Issued: Dec 15, 2006
Last updated: Jan 10, 2020
Status: Active

Other names

<unavail>
Bristol Regional Counseling Center · doing business as
Bristol Regional Counseling Center · doing business as

Authorized official

Mrs. Kristie Hammonds
President and CEO
(423) 467-3600

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1235291295

Frontier Health's National Provider Identifier is 1235291295, issued on Dec 15, 2006. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Bristol, TN. The record was last updated on Jan 10, 2020.