| Appalachian Behavior Support Services, Llc | |
|
1561 Colony Park Dr Johnson City TN 37604-7183 | |
| (423) 676-4324 | |
| (423) 434-2979 |
| Full Name | Appalachian Behavior Support Services, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1561 Colony Park Dr, Johnson City, Tennessee |
| Authorized Official Name and Position | Veronica Joker (DIRECTOR) |
| Authorized Official Contact | 4236764324 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Appalachian Behavior Support Services, Llc Po Box 5788 Johnson City TN 37602-5788 Ph: (423) 676-4324 | Appalachian Behavior Support Services, Llc 1561 Colony Park Dr Johnson City TN 37604-7183 Ph: (423) 676-4324 |
| NPI Number | 1548387939 |
|---|---|
| Provider Enumeration Date | 03/23/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548387939 | NPI | - | NPPES |
| 00C64 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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