| NPI | 1588185672 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA L BERRIER Senior Psychological Examiner 423-432-5218 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: TN 11837) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TN 11837) |
| 102L00000X Psychoanalyst (Licence: TN 11837) | |
| 261QM0850X Clinic/Center, Adult Mental Health (Licence: TN 11837) | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: TN 11837) | |
| 305R00000X Preferred Provider Organization (Licence: TN 11837) | |
| 405300000X Prevention Professional (Licence: TN 11837) | |
| Enumeration Date | 2017-06-29 |
| Last Update Date | 2022-07-21 |