| Henry County Lake Haven Behavioral Health | |
|
301 Tyson Ave Paris TN 38242-4544 | |
| (731) 642-1220 | |
| (731) 644-8587 |
| Full Name | Henry County Lake Haven Behavioral Health |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 301 Tyson Ave, Paris, Tennessee |
| Authorized Official Name and Position | Tina Prescott (INTERIM PRESIDENT AND CEO) |
| Authorized Official Contact | 7315416767 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Henry County Lake Haven Behavioral Health 301 Tyson Avenue Paris TN 38242-4544 Ph: (731) 642-1220 | Henry County Lake Haven Behavioral Health 301 Tyson Ave Paris TN 38242-4544 Ph: (731) 642-1220 |
| NPI Number | 1699861005 |
|---|---|
| Provider Enumeration Date | 10/04/2006 |
| Last Update Date | 10/09/2024 |
| Certification Date | 08/23/2024 |
| Medicare PECOS PAC ID | 6002898665 |
|---|---|
| Medicare Enrollment ID | O20100211000505 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699861005 | NPI | - | NPPES |
| 044S132 | Medicaid | TN | |
| 0440132 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | 000000057 (Tennessee) | Primary |
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