| Bhg Knoxville Citico Treatment Center | |
|
412 Citico Knoxville TN 37921 | |
| (865) 522-0661 | |
| (865) 522-3670 |
| Full Name | Bhg Knoxville Citico Treatment Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 412 Citico, Knoxville, Tennessee |
| Authorized Official Name and Position | Jemece Michelle Gasaway (DIRECTOR OF LICENSING) |
| Authorized Official Contact | 2143656126 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bhg Knoxville Citico Treatment Center 5001 Spring Valley Road, Suite 600 East Dallas TX 75244 Ph: (214) 365-6100 | Bhg Knoxville Citico Treatment Center 412 Citico Knoxville TN 37921 Ph: (865) 522-0661 |
| NPI Number | 1366601775 |
|---|---|
| Provider Enumeration Date | 06/02/2008 |
| Last Update Date | 05/29/2020 |
| Certification Date | 05/29/2020 |
| Medicare PECOS PAC ID | 1355651217 |
|---|---|
| Medicare Enrollment ID | O20190808000455 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366601775 | NPI | - | NPPES |
| Provider Name | William Alex James |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1063494508 PECOS PAC ID: 9638131253 Enrollment ID: I20041027000259 |
| Provider Name | Seth I Kaufman |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1891724738 PECOS PAC ID: 2769562644 Enrollment ID: I20080104000221 |
| Provider Name | Joann S Marrs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104855451 PECOS PAC ID: 9739401720 Enrollment ID: I20141202000930 |
| Provider Name | Nicky D Edwards |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336531698 PECOS PAC ID: 0749500544 Enrollment ID: I20150519000959 |
| Provider Name | Molly Ledbetter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184170268 PECOS PAC ID: 7810278710 Enrollment ID: I20170109002167 |
| Provider Name | Jose Luis Lopez-romero |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1659346674 PECOS PAC ID: 2466351762 Enrollment ID: I20170606002383 |
| Provider Name | Brian Edward Fuller |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1033409438 PECOS PAC ID: 1951616192 Enrollment ID: I20170725002414 |
| Provider Name | Rikki Lynn Pleasants |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659326387 PECOS PAC ID: 1254344708 Enrollment ID: I20200402001070 |
| Provider Name | Ida Santana |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1942483003 PECOS PAC ID: 0941376529 Enrollment ID: I20200413000221 |
| Provider Name | Parul V Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194347658 PECOS PAC ID: 6800210238 Enrollment ID: I20200720000153 |
| Provider Name | John Francis O Connell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851479059 PECOS PAC ID: 1759717291 Enrollment ID: I20210812002823 |
Lane M. Cook, M.d. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4428 Sutherland Ave, Knoxville, TN 37919 Phone: 865-588-6425 Fax: 865-584-8066 | |
David Friend, Lcsw Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 9631 W Emory Rd., Knoxville, TN 37931 Phone: 865-219-9559 | |
Omega Pain Management, Pc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 6348 Lonas Spring Dr, Knoxville, TN 37909 Phone: 865-337-5137 Fax: 888-839-6922 | |
The Next Door Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2636 Maryville Pike, Knoxville, TN 37920 Phone: 865-934-2890 Fax: 865-934-2894 | |
Mckinnon Mental Health Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6626 Central Avenue Pike, Knoxville, TN 37912 Phone: 865-235-9742 | |
Rha Health Services Tn Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 9041 Executive Park Dr Ste 705, Knoxville, TN 37923 Phone: 895-769-7491 | |
Weatherstone Collaborative Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 323 Ebenezer Rd, Knoxville, TN 37923 Phone: 865-272-9709 |