| Depression Specialists Of East Tennessee Inc. | |
|
214 S Peters Rd Ste 102 Knoxville TN 37923-5229 | |
| (865) 539-1001 | |
| Not Available |
| Full Name | Depression Specialists Of East Tennessee Inc. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 214 S Peters Rd Ste 102, Knoxville, Tennessee |
| Authorized Official Name and Position | Linda Cooper Sherrod (OFFICE MANAGER) |
| Authorized Official Contact | 8655391001 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Depression Specialists Of East Tennessee Inc. 214 S Peters Rd Ste 102 Knoxville TN 37923-5229 Ph: (865) 539-1001 | Depression Specialists Of East Tennessee Inc. 214 S Peters Rd Ste 102 Knoxville TN 37923-5229 Ph: (865) 539-1001 |
| NPI Number | 1093350159 |
|---|---|
| Provider Enumeration Date | 11/13/2019 |
| Last Update Date | 04/27/2020 |
| Certification Date | 04/27/2020 |
| Medicare PECOS PAC ID | 6103257258 |
|---|---|
| Medicare Enrollment ID | O20200506000373 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093350159 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Kris Houser |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1992798284 PECOS PAC ID: 2466482641 Enrollment ID: I20050817000517 |
| Provider Name | Kelly N Ownby |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1518154566 PECOS PAC ID: 1951465236 Enrollment ID: I20090202000093 |
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