Organization · Type 2 NPI

Frontier Health

Community/Behavioral Health Agency · Kingsport, TN

NPI number 1700940251 Active

Practice location

1570 Waverly Rd
Kingsport, TN 37664-2523

Call (423) 224-1300 Map

Fax (423) 224-1375

Mailing address

PO Box 9054
Gray, TN 37615-9054

Specialties and licenses

Taxonomy	Code	License
Case Management Agency	251B00000X	L 214-076-1418 (TN)
Community/Behavioral Health Agency Primary	251S00000X	L 214-076-1418 (TN)
Adult Mental Health Clinic/Center	261QM0850X	L 214-076-1418 (TN)
Substance Use Disorder Rehabilitation Clinic/Center	261QR0405X	364 (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…

87 other providers at this address

Other community/behavioral health agency providers in Kingsport

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NPI record

NPI: 1700940251
Entity type: Organization (Type 2)
Issued: Dec 20, 2006
Last updated: Oct 4, 2018
Status: Active

Other names

<unavail>
Holston Counseling Center · doing business as
Holston Counseling Center · doing business as

Authorized official

Ms. 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 1700940251

Frontier Health's National Provider Identifier is 1700940251, issued on Dec 20, 2006. 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 4, 2018.