| Comprehensive Psychiatric Care, Pllc | |
|
7161 Lee Hwy Suite 400 Chattanooga TN 37421-8608 | |
| (423) 708-8670 | |
| (423) 708-8671 |
| Full Name | Comprehensive Psychiatric Care, Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 7161 Lee Hwy, Chattanooga, Tennessee |
| Authorized Official Name and Position | Deena Olivas (OFFICE MANAGER) |
| Authorized Official Contact | 4237088670 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Comprehensive Psychiatric Care, Pllc 7161 Lee Hwy Suite 400 Chattanooga TN 37421-8608 Ph: (423) 708-8670 | Comprehensive Psychiatric Care, Pllc 7161 Lee Hwy Suite 400 Chattanooga TN 37421-8608 Ph: (423) 708-8670 |
| NPI Number | 1184001869 |
|---|---|
| Provider Enumeration Date | 05/01/2015 |
| Last Update Date | 03/04/2024 |
| Certification Date | 03/04/2024 |
| Medicare PECOS PAC ID | 7810207800 |
|---|---|
| Medicare Enrollment ID | O20151103001628 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184001869 | NPI | - | NPPES |
| Q12667 | Medicaid | TN | |
| 3895348 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 4744 (Tennessee) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 38569 (Tennessee) | Primary |
| Provider Name | Cassandra G Simms |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1437117926 PECOS PAC ID: 8022081595 Enrollment ID: I20040813000955 |
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