| Childhelp Clinical Services Program | |
|
408 N Cedar Bluff Rd Ste 325 Knoxville TN 37923-3656 | |
| (865) 637-1753 | |
| (865) 544-7150 |
| Full Name | Childhelp Clinical Services Program |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 408 N Cedar Bluff Rd Ste 325, Knoxville, Tennessee |
| Authorized Official Name and Position | Lisa Carpenter (DIRECTOR, REVENUE CYCLE MANAGEMENT) |
| Authorized Official Contact | 2766170957 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Childhelp Clinical Services Program 6730 N Scottsdale Rd Ste 150 Scottsdale AZ 85253-4415 Ph: (276) 617-0957 | Childhelp Clinical Services Program 408 N Cedar Bluff Rd Ste 325 Knoxville TN 37923-3656 Ph: (865) 637-1753 |
| NPI Number | 1710037007 |
|---|---|
| Provider Enumeration Date | 01/11/2007 |
| Last Update Date | 12/27/2022 |
| Certification Date | 12/27/2022 |
| Medicare PECOS PAC ID | 3870965346 |
|---|---|
| Medicare Enrollment ID | O20230209000898 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710037007 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Leigh Ann F Stephens |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124686217 PECOS PAC ID: 4183096589 Enrollment ID: I20230213001529 |
| Provider Name | Vonda K Mcgill |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154576510 PECOS PAC ID: 2567835481 Enrollment ID: I20230223002066 |
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