Ernst Psychiatric Services, Llc | |
100 5th St Ste 340 Shelby Square Bristol TN 37620-5919 | |
(423) 990-2100 | |
(423) 652-2884 |
Full Name | Ernst Psychiatric Services, Llc |
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Speciality | Social Worker - Clinical |
Location | 100 5th St Ste 340, Bristol, Tennessee |
Authorized Official Name and Position | Mary Pat Ernst (OWNER) |
Authorized Official Contact | 4239902100 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Ernst Psychiatric Services, Llc P.o. Box 154 Bristol TN 37621-0154 Ph: (423) 990-2100 | Ernst Psychiatric Services, Llc 100 5th St Ste 340 Shelby Square Bristol TN 37620-5919 Ph: (423) 990-2100 |
NPI Number | 1447485958 |
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Provider Enumeration Date | 05/28/2009 |
Last Update Date | 02/25/2010 |
Identifier | Type | State | Issuer |
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1447485958 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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