BEHAVIORAL HEALTH OF GREENEVILLE, INC.


Address: 122 Village Dr, Suite 1, Greeneville, TN 37745-4228
Phone: 4237870238

BEHAVIORAL HEALTH OF GREENEVILLE, INC. (NPI# 1992777841) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1992777841
Entity Type Organization
Organization Name BEHAVIORAL HEALTH OF GREENEVILLE, INC.
Practice Address 122 Village Dr
Suite 1
Greeneville
TN 37745-4228
Practice Telephone 4237870238
Practice Fax Number 4237870796
Mailing Telephone 4237870238
Mailing Fax Number 4237870796
Enumeration Date 2006-02-05
Last Update Date 2020-08-22
Authorized Official Name DR. TIMOTHY J SULLIVAN JR. (MEDICAL DIRECTOR)
Authorized Official Telephone 4237870238
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM0801X Clinic/Center
Specialization: Mental Health (Including Community Mental Health Center)
TN Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
TN 3926726 05
TN 3882277 05

Office Location

Street Address 122 VILLAGE DR
SUITE 1
City GREENEVILLE
State TN
Zip Code 37745-4228

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Taxonomy Information

Taxonomy Code 261QM0801X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Mental Health (Including Community Mental Health Center)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1184269573 Greeneville Counseling and Consultation Clinic/Center 1107 Temple St Ste 406, Greeneville, TN 37745-6357 2019-11-09

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1942832506 Arrow of Hope Counseling Center, Pllc Clinic/Center 130 Hillcrest Dr Ste 105, Clarksville, TN 37043-5064 2020-02-11
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1104469931 Trailhead Treatment Center Clinic/Center 2607 Kingston Pike Ste 2, Knoxville, TN 37919-3336 2019-10-24
1801437785 Open Door Treatment Center Inc Clinic/Center 3622 Merritt St, Memphis, TN 38128-3734 2019-10-02
1316597354 Innovative Care Solutions Clinic/Center 4582 W Andrew Johnson Hwy, Morristown, TN 37814-1038 2019-09-11
1942854583 Mava Healthcare System LLC Clinic/Center 18230 Fm 1488 Suite 201, Magnolia, TN 77354 2019-08-01
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Competitor

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City GREENEVILLE
Zip Code 37745

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Dataset Information

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.

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