| Advanced Practice Psychiatry Llc | |
|
641 Morganton Square Dr Maryville TN 37801-4763 | |
| (865) 724-1590 | |
| (865) 724-1591 |
| Full Name | Advanced Practice Psychiatry Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 641 Morganton Square Dr, Maryville, Tennessee |
| Authorized Official Name and Position | Linda Cabage (OWNER) |
| Authorized Official Contact | 8657241590 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Practice Psychiatry Llc 641 Morganton Square Dr Maryville TN 37801-4763 Ph: (865) 724-1590 | Advanced Practice Psychiatry Llc 641 Morganton Square Dr Maryville TN 37801-4763 Ph: (865) 724-1590 |
| NPI Number | 1275873630 |
|---|---|
| Provider Enumeration Date | 02/21/2013 |
| Last Update Date | 05/04/2022 |
| Certification Date | 05/04/2022 |
| Medicare PECOS PAC ID | 0749426211 |
|---|---|
| Medicare Enrollment ID | O20130429000653 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275873630 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Linda F Cabage |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770849127 PECOS PAC ID: 6103089081 Enrollment ID: I20120514000509 |
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