Organization · Type 2 NPI

Frontier Health

Community/Behavioral Health Agency · Kingsport, TN

NPI number 1508917642 Active

Practice location

2017 Stonebrook Pl
Kingsport, TN 37660-4000

Call (423) 224-1417 Map

Fax (423) 224-1418

Mailing address

PO Box 9054
Gray, TN 37615-9054

Specialties and licenses

Taxonomy	Code	License
Community/Behavioral Health Agency Primary	251S00000X	L 3(20)24M3-076-1414 (TN)

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

6 other providers at this address

Other community/behavioral health agency providers in Kingsport

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NPI record

NPI: 1508917642
Entity type: Organization (Type 2)
Issued: Jan 16, 2007
Last updated: Oct 5, 2018
Status: Active

Other names

<unavail>
Supported Living - Kingsport · doing business as
Supported Living - Kingsport · doing business as

Authorized official

Dr. Teresa M Kidd, PhD
President and CEO
(423) 467-3600

Verify this record

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 1508917642

Frontier Health's National Provider Identifier is 1508917642, issued on Jan 16, 2007. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Kingsport, TN. The record was last updated on Oct 5, 2018.