| Behavioral Health Of Greeneville, Inc. | |
|
122 Village Dr Suite 1 Greeneville TN 37745-4228 | |
| (423) 787-0238 | |
| (423) 787-0796 |
| Full Name | Behavioral Health Of Greeneville, Inc. |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 122 Village Dr, Greeneville, Tennessee |
| Authorized Official Name and Position | Timothy J Sullivan (MEDICAL DIRECTOR) |
| Authorized Official Contact | 4237870238 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Behavioral Health Of Greeneville, Inc. 122 Village Dr Suite 1 Greeneville TN 37745-4228 Ph: (423) 787-0238 | Behavioral Health Of Greeneville, Inc. 122 Village Dr Suite 1 Greeneville TN 37745-4228 Ph: (423) 787-0238 |
| NPI Number | 1992777841 |
|---|---|
| Provider Enumeration Date | 02/05/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992777841 | NPI | - | NPPES |
| 3926726 | Medicaid | TN | |
| 3882277 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (Tennessee) | Primary |
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