PSYCHIATRIC SERVICES OF EAST TENNESSEE (NPI# 1871658757) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871658757 |
| Entity Type | Organization |
| Organization Name | PSYCHIATRIC SERVICES OF EAST TENNESSEE |
| Practice Address |
123 E Washington Ave Athens TN 37303 |
| Mailing Address |
Po Box 367 Athens TN 37371 |
| Practice Telephone | 4235078826 |
| Practice Fax Number | 4235078791 |
| Mailing Telephone | 4235078826 |
| Mailing Fax Number | 4235078791 |
| Enumeration Date | 2006-12-22 |
| Last Update Date | 2016-07-06 |
| Authorized Official Name | MS. BRENDA THOMAS (OWNER COO) |
| Authorized Official Telephone | 4238295017 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | Y |
| Parent Organization Name | RESTORATION COUNSELING |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TA0400X |
Psychologist Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| N | 251S00000X | Community/Behavioral Health | Agencies | ||
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 241084823 | 05 | |
| TN | BCBS | 4084775 | 01 |
| Street Address |
123 E WASHINGTON AVE |
| City | ATHENS |
| State | TN |
| Zip Code | 37303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285242529 | Kelley Anne Seekins | Specialist/Technologist | 204 E. College St., Athens, TN 37303 | 2020-07-22 |
| 1699237511 | Athens Family Dental | Clinic/Center | 746 Tell Street, Athens, TN 37303 | 2019-04-01 |
| 1881185916 | Agnes Ebedi | Counselor | 744 Tell St Ste 100, Athens, TN 37303 | 2018-05-24 |
| 1679002059 | Ashley Y Davis | Nurse Practitioner | 909 Congress Pkwy N, Athens, TN 37303 | 2017-06-08 |
| 1417312521 | Wanda J Dennis | Case Manager/Care Coordinator | 708 Virginia Avenue, Athens, TN 37303 | 2015-12-17 |
| 1376975276 | Jeffrey Allen Hanson | Occupational Therapy Assistant | 1204 Frye Street, Athens, TN 37303 | 2013-08-01 |
| 1043596794 | Jennifer Donahoo | Pharmacist | 1302 Congress Parkway S., Athens, TN 37303 | 2011-10-26 |
| 1093009938 | Leah Calla | Registered Nurse | 393 County Rd 554, Athens, TN 37303 | 2011-06-08 |
| 1407038201 | Carl Quinn Osborn | Orthopaedic Surgery | 627 Congress Parkway South, Athens, TN 37303 | 2007-12-04 |
| 1972791903 | Angela Colleen Stokes | Nurse Practitioner | 1805 Ingleside Dr, Athens, TN 37303 | 2007-10-03 |
| Find all providers in zip 37303 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750856779 | Treasa Susan Lucas | Counselor | 1005 E State St Ste I, Athens, OH 45701-2151 | 2018-10-05 |
| 1497243836 | Shannon Corda | Counselor | 119 Sycamore Dr, Athens, GA 30606-3462 | 2018-05-01 |
| 1720597503 | Amy M See | Counselor | 11100 State Route 550 Ste H, Athens, OH 45701 | 2017-09-25 |
| 1255840237 | Karen Ruth Peck | Counselor | 86 Columbus Rd Ste 103, Athens, OH 45701-1331 | 2017-09-22 |
| 1295250736 | Crest Behavioral Healthcare | Counselor | 11100 State Route 550, Athens, OH 45701-8839 | 2017-08-05 |
| 1710337456 | Catherine Chelak | Counselor | 9908 Bassett Rd, Athens, OH 45701-3684 | 2016-06-14 |
| 1750770335 | Nile Sedgwick | Counselor | 1090 Founders Blvd Ste B, Athens, GA 30606-6163 | 2015-01-20 |
| 1770852766 | Karen A Skinner | Counselor | 1020 Barber Creek Road, Suite 203, Athens, GA 30677 | 2011-12-20 |
| 1508909474 | Sherry R Shamblin | Counselor | 90 Hospital Drive, Athens, OH 45701-2301 | 2007-02-14 |
| 1124197546 | James R Flanigan | Counselor | 215 Hunnicutt Dr, Athens, GA 30606-1707 | 2006-11-07 |
| Find all providers in ATHENS | ||||
Please comment or provide details below to improve the information on PSYCHIATRIC SERVICES OF EAST TENNESSEE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.