| Frontier Health | |
|
1167 Spratlin Park Dr Gray TN 37615-6205 | |
| (423) 467-3700 | |
| (423) 467-3644 |
| Full Name | Frontier Health |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 1167 Spratlin Park Dr, Gray, Tennessee |
| Authorized Official Name and Position | Kristie Hammonds (PRESIDENT AND CEO) |
| Authorized Official Contact | 4234673700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Frontier Health Po Box 9054 Gray TN 37615-9054 Ph: (423) 467-3700 | Frontier Health 1167 Spratlin Park Dr Gray TN 37615-6205 Ph: (423) 467-3700 |
| NPI Number | 1720147408 |
|---|---|
| Provider Enumeration Date | 12/08/2006 |
| Last Update Date | 05/25/2022 |
| Certification Date | 05/25/2022 |
| Medicare PECOS PAC ID | 2860302320 |
|---|---|
| Medicare Enrollment ID | O20040109000560 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720147408 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Felecia G Abdelfattah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497768451 PECOS PAC ID: 9931013935 Enrollment ID: I20031210000802 |
| Provider Name | Paul C Villeneuve |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1962432633 PECOS PAC ID: 4587636071 Enrollment ID: I20040806000026 |
| Provider Name | Kristi T Cook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851394589 PECOS PAC ID: 7517928294 Enrollment ID: I20041026000281 |
| Provider Name | Constance S Lackner-mullins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922068022 PECOS PAC ID: 5698724102 Enrollment ID: I20050121000245 |
| Provider Name | Melissa J Birdwell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659475341 PECOS PAC ID: 6204879711 Enrollment ID: I20050606000989 |
| Provider Name | Clinton A Musil |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1366546046 PECOS PAC ID: 6800988320 Enrollment ID: I20070907000373 |
| Provider Name | Phillip Steffey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689662389 PECOS PAC ID: 3971698119 Enrollment ID: I20071002000731 |
| Provider Name | Margaret E Finley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538297684 PECOS PAC ID: 9739258294 Enrollment ID: I20080523000222 |
| Provider Name | Chad L Duncan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083627160 PECOS PAC ID: 8527117191 Enrollment ID: I20090601000576 |
| Provider Name | Connie Sue Robinette |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154579167 PECOS PAC ID: 4789734872 Enrollment ID: I20090611000283 |
| Provider Name | Jill Wishart |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073617759 PECOS PAC ID: 0749252492 Enrollment ID: I20111010000577 |
| Provider Name | Randall P Weaver |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689687733 PECOS PAC ID: 6800068040 Enrollment ID: I20111011000549 |
| Provider Name | Diana Finlay |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780743872 PECOS PAC ID: 4981876158 Enrollment ID: I20111012000181 |
| Provider Name | Cathy M Gowan |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1235125162 PECOS PAC ID: 9133137797 Enrollment ID: I20130225000223 |
| Provider Name | Juanelle L Lambert |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982913174 PECOS PAC ID: 2668606401 Enrollment ID: I20131009001374 |
| Provider Name | Schuyler K Geller |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1972653152 PECOS PAC ID: 9234363466 Enrollment ID: I20140710001251 |
| Provider Name | Tabatha O Hallman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1508119843 PECOS PAC ID: 8628295417 Enrollment ID: I20140819002203 |
| Provider Name | Dorothy Sue Chapman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477893618 PECOS PAC ID: 3274771670 Enrollment ID: I20140930000787 |
| Provider Name | Becca J Ward |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124387857 PECOS PAC ID: 5698931954 Enrollment ID: I20150921002368 |
| Provider Name | Jason T Hayes |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1053625640 PECOS PAC ID: 9739311309 Enrollment ID: I20151028001140 |
| Provider Name | Patricia Turner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356543029 PECOS PAC ID: 3779885835 Enrollment ID: I20160106000867 |
| Provider Name | Mary J Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821543463 PECOS PAC ID: 9032406418 Enrollment ID: I20160928002468 |
| Provider Name | Maureen A Gaynor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730230681 PECOS PAC ID: 4183876774 Enrollment ID: I20170406000078 |
| Provider Name | Carilyn L Patrick |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669605986 PECOS PAC ID: 8022389360 Enrollment ID: I20170804002992 |
| Provider Name | Rebecca Annette Delong |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891099156 PECOS PAC ID: 6204019433 Enrollment ID: I20190501001997 |
| Provider Name | Lori Jean Klinger |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1891934675 PECOS PAC ID: 5890050488 Enrollment ID: I20191029001118 |
| Provider Name | Jason L Altman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609103126 PECOS PAC ID: 3476985292 Enrollment ID: I20191118000599 |
| Provider Name | Kaitlynn Earls |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710459706 PECOS PAC ID: 8729412440 Enrollment ID: I20200103002143 |
| Provider Name | Jill Lyn Newton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013353846 PECOS PAC ID: 6709207681 Enrollment ID: I20200601002309 |
| Provider Name | Mary Cecilia Grice |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740395516 PECOS PAC ID: 8123062825 Enrollment ID: I20200603003164 |
| Provider Name | Khristina Marie Howey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184240095 PECOS PAC ID: 7113342056 Enrollment ID: I20200810000754 |
| Provider Name | Gloria B Lee |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780200048 PECOS PAC ID: 8527485325 Enrollment ID: I20200825001721 |
| Provider Name | Jessica Leann Barry |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295123941 PECOS PAC ID: 4688080344 Enrollment ID: I20210304001992 |
| Provider Name | Jennifer Renee Harris |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437305984 PECOS PAC ID: 7012323660 Enrollment ID: I20210308000676 |
| Provider Name | Todd Infinger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336730084 PECOS PAC ID: 2769899012 Enrollment ID: I20210402000061 |
| Provider Name | Natalie R Linkous |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356945018 PECOS PAC ID: 4183030745 Enrollment ID: I20210414000303 |
| Provider Name | Tiffani M Dotson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851972962 PECOS PAC ID: 9133537400 Enrollment ID: I20210427000102 |
| Provider Name | Jennifer D Judy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326713280 PECOS PAC ID: 6204231764 Enrollment ID: I20210820001779 |
| Provider Name | Hang Lei |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396412631 PECOS PAC ID: 1850797887 Enrollment ID: I20210831001032 |
| Provider Name | Jacqlyne Weber Bowman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457021354 PECOS PAC ID: 1850780131 Enrollment ID: I20211106000227 |
| Provider Name | Katie M Skiera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447983077 PECOS PAC ID: 4385010677 Enrollment ID: I20221011001656 |
| Provider Name | Emily J Trentham |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639807829 PECOS PAC ID: 0446626725 Enrollment ID: I20221012002462 |
| Provider Name | Ivy D Buerkle |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851474175 PECOS PAC ID: 9830560382 Enrollment ID: I20230120002052 |
| Provider Name | Victoria Wells |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861104838 PECOS PAC ID: 5799156980 Enrollment ID: I20230126001381 |
| Provider Name | Lindsay R Varnadore |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467164947 PECOS PAC ID: 3173988508 Enrollment ID: I20230508001381 |
| Provider Name | Jeremy Allen Page |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295069060 PECOS PAC ID: 0345607677 Enrollment ID: I20230601001278 |
| Provider Name | Kennedy L Eldridge |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750061875 PECOS PAC ID: 6103289996 Enrollment ID: I20230825003521 |
| Provider Name | Stephanie A Brickey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881477222 PECOS PAC ID: 6103270194 Enrollment ID: I20230925002407 |
| Provider Name | Blair Fitzpatrick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457138596 PECOS PAC ID: 6507210978 Enrollment ID: I20231004000627 |
| Provider Name | Scyron R Mcinturff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821879982 PECOS PAC ID: 9436507910 Enrollment ID: I20231121003111 |
| Provider Name | Kaylee L. Murphy |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1992347405 PECOS PAC ID: 0749639094 Enrollment ID: I20231212001173 |
| Provider Name | Hope A Salyers |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1891494019 PECOS PAC ID: 1557710589 Enrollment ID: I20231215000274 |
| Provider Name | Christy R. Crick |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1063071926 PECOS PAC ID: 8729437710 Enrollment ID: I20231215003051 |
| Provider Name | Erin N Gragg |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1740919745 PECOS PAC ID: 5698125573 Enrollment ID: I20231219003042 |
| Provider Name | Anna M Bogart |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1912275553 PECOS PAC ID: 0941650725 Enrollment ID: I20231219003552 |
| Provider Name | Caitlin D Meadows |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1104525856 PECOS PAC ID: 4981054780 Enrollment ID: I20231220000129 |
| Provider Name | Paula Vanessa Holloway |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1508960204 PECOS PAC ID: 4183074842 Enrollment ID: I20231221002631 |
| Provider Name | Tiffany Faith Howard |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1588109334 PECOS PAC ID: 3072963651 Enrollment ID: I20231221003692 |
| Provider Name | Nina Katherine Kibler Hancock |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1487747465 PECOS PAC ID: 3375993991 Enrollment ID: I20231222001192 |
| Provider Name | Cindy M Tvardy |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1013019397 PECOS PAC ID: 3072963628 Enrollment ID: I20231222002206 |
| Provider Name | Amy Maria Mullins |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1114150430 PECOS PAC ID: 9830549252 Enrollment ID: I20231228000318 |
| Provider Name | Margaret L Cress |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1235141367 PECOS PAC ID: 1759731037 Enrollment ID: I20231228002617 |
| Provider Name | John Christopher Braddock |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1952558934 PECOS PAC ID: 8921458191 Enrollment ID: I20231229002190 |
| Provider Name | Makayla W Shippy |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1205459245 PECOS PAC ID: 0840641676 Enrollment ID: I20240105002671 |
| Provider Name | Tara Lynn Hahner |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1447398714 PECOS PAC ID: 3072964717 Enrollment ID: I20240108003604 |
| Provider Name | Samantha K Nelson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1659077428 PECOS PAC ID: 4082065636 Enrollment ID: I20240108003959 |
| Provider Name | Brittany S Baker |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1053697789 PECOS PAC ID: 8325499841 Enrollment ID: I20240109004261 |
| Provider Name | Bradley S Wallace |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1215706528 PECOS PAC ID: 5799136222 Enrollment ID: I20240109004642 |
| Provider Name | Brenda S Ford |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1538410576 PECOS PAC ID: 0143672105 Enrollment ID: I20240116002101 |
| Provider Name | Vonda Karla Wagner |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1740450741 PECOS PAC ID: 8729430665 Enrollment ID: I20240117000521 |
| Provider Name | Erin E Hassig Egan |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1730627407 PECOS PAC ID: 3870945694 Enrollment ID: I20240117003499 |
| Provider Name | Leslie Brooke Hurd |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1760827554 PECOS PAC ID: 4082066766 Enrollment ID: I20240118000784 |
| Provider Name | Debra Helen Eisenhower |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1326128026 PECOS PAC ID: 8224480876 Enrollment ID: I20240118003453 |
| Provider Name | Ashley S Evans |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1184746406 PECOS PAC ID: 8820440399 Enrollment ID: I20240119002874 |
| Provider Name | David R Barlow |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1184486359 PECOS PAC ID: 6406299387 Enrollment ID: I20240207003192 |
| Provider Name | Matthew M Midkiff |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1003570615 PECOS PAC ID: 9537502455 Enrollment ID: I20240208000170 |
| Provider Name | George S Tvardy |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1942312038 PECOS PAC ID: 5092158717 Enrollment ID: I20240209002590 |
| Provider Name | Melanie R Hicks |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1912329525 PECOS PAC ID: 6800239351 Enrollment ID: I20240212002623 |
| Provider Name | Tim A Perry |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1891884102 PECOS PAC ID: 8628411188 Enrollment ID: I20240212002937 |
| Provider Name | Valerie Murray Hopson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1639273642 PECOS PAC ID: 9436592896 Enrollment ID: I20240213002402 |
| Provider Name | Whitney S Compton Holt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356104459 PECOS PAC ID: 3577907625 Enrollment ID: I20240216003431 |
| Provider Name | Erica R Broyles |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750144499 PECOS PAC ID: 1456795335 Enrollment ID: I20240219003214 |
| Provider Name | David L Brown |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1811900905 PECOS PAC ID: 3577907120 Enrollment ID: I20240222000536 |
| Provider Name | Nicole Raastad Bonham |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1336572981 PECOS PAC ID: 1254775828 Enrollment ID: I20240222001448 |
| Provider Name | Robb R Miller |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1811086317 PECOS PAC ID: 7214372556 Enrollment ID: I20240227001603 |
| Provider Name | Mary Diane Priesmeyer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922863208 PECOS PAC ID: 9537504519 Enrollment ID: I20240229001592 |
| Provider Name | Genneta M Gross |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1922100205 PECOS PAC ID: 4688019425 Enrollment ID: I20240301003515 |
| Provider Name | Kendra L Cook |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1679814016 PECOS PAC ID: 7214373562 Enrollment ID: I20240309000420 |
| Provider Name | Kalene R Ardt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558427765 PECOS PAC ID: 0840636064 Enrollment ID: I20240311002330 |
| Provider Name | Chelsea Elizabeth Rushing |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508535493 PECOS PAC ID: 6507202405 Enrollment ID: I20240314000570 |
| Provider Name | Scott Brady Hollenbeck |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1558400473 PECOS PAC ID: 1456799063 Enrollment ID: I20240402001705 |
| Provider Name | Montgomery A Greer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1790544583 PECOS PAC ID: 0648618173 Enrollment ID: I20240403002467 |
| Provider Name | Kristen N Branch-mcglamery |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1518726496 PECOS PAC ID: 8527406495 Enrollment ID: I20240411000409 |
| Provider Name | Kennedy L Eldridge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750061875 PECOS PAC ID: 6103289996 Enrollment ID: I20240418000557 |
Little Blessings Aba, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 182 Maden Dr, Gray, TN 37615 Phone: 423-483-7005 | |
Confidential Counseling Solutions Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2102 Forest Dr, Suite 5, Gray, TN 37615 Phone: 423-895-4053 Fax: 706-364-4340 | |
Gray Station Neurology, Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5583 Bobby Hicks Hwy, Suite 209, Gray, TN 37615 Phone: 423-467-4240 Fax: 423-467-4260 |