Organization · Type 2 NPI

Frontier Health

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

NPI number 1760547004 Active

Practice location

401 Holston Dr
Greeneville, TN 37743-3127

Call (423) 639-1104 Map

Fax (423) 636-8365

Mailing address

PO Box 9054
Gray, TN 37615-9054

Specialties and licenses

Taxonomy	Code	License
Case Management Agency	251B00000X	L 214-076-1423 (TN)
Community/Behavioral Health Agency	251S00000X	L 241-076-1423 (TN)
Mental Health Clinic/Center (Including Community Mental Health Center) Primary	261QM0801X	L 214-076-1423 (TN)
Substance Use Disorder Rehabilitation Clinic/Center	261QR0405X	368 (TN)

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

45 other providers at this address

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

Behavioral Health of Greeneville, Inc.Mental Health Clinic/Center (Including Community Mental Health Center) Greeneville, TN NPI 1992777841

See all in Greeneville →

NPI record

NPI: 1760547004
Entity type: Organization (Type 2)
Issued: Dec 27, 2006
Last updated: Oct 4, 2018
Status: Active

Other names

<unavail>
Nolachuckey -Holston Area Mental Health Center · doing business as
Nolachuckey -Holston Area Mental Health Center · doing business as

Authorized official

Mrs. Teresa M Kidd, PhD
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 1760547004

Frontier Health's National Provider Identifier is 1760547004, issued on Dec 27, 2006. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Greeneville, TN. The record was last updated on Oct 4, 2018.