Organization · Type 2 NPI

Frontier Health

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

NPI number 1962564435 Active

Practice location

426 E G St
Elizabethton, TN 37643-3224

Call (423) 547-5950 Map

Fax (423) 547-5953

Mailing address

PO Box 9054
Gray, TN 37615-9054

Specialties and licenses

Taxonomy	Code	License
Case Management Agency	251B00000X	L-214-076-1406 (TN)
Community/Behavioral Health Agency	251S00000X	L-214-076-1406 (TN)
Mental Health Clinic/Center (Including Community Mental Health Center) Primary	261QM0801X	L-214-076-1406 (TN)
Substance Use Disorder Rehabilitation Clinic/Center	261QR0405X	363 (TN)

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

23 other providers at this address

NPI record

NPI: 1962564435
Entity type: Organization (Type 2)
Issued: Dec 14, 2006
Last updated: Jan 10, 2020
Status: Active

Other names

<unavail>
Charlotte Taylor Center · doing business as
Charlotte Taylor Center · doing business as

Authorized official

Mrs. Kristie Hammonds, 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 1962564435

Frontier Health's National Provider Identifier is 1962564435, issued on Dec 14, 2006. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Elizabethton, TN. The record was last updated on Jan 10, 2020.