| Holston Health Associates, Pllc | |
|
408 Lake Breeze Dr Blountville TN 37617-6436 | |
| (423) 274-4692 | |
| Not Available |
| Full Name | Holston Health Associates, Pllc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 408 Lake Breeze Dr, Blountville, Tennessee |
| Authorized Official Name and Position | Dan Adrian Nicolau (OWNER) |
| Authorized Official Contact | 4232744692 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Holston Health Associates, Pllc 408 Lake Breeze Dr Blountville TN 37617-6436 Ph: () - | Holston Health Associates, Pllc 408 Lake Breeze Dr Blountville TN 37617-6436 Ph: (423) 274-4692 |
| NPI Number | 1275049215 |
|---|---|
| Provider Enumeration Date | 12/27/2017 |
| Last Update Date | 01/26/2025 |
| Certification Date | 01/26/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275049215 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
Phillips Aba Therapy, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 112 Southridge Dr, Blountville, TN 37617 Phone: 276-494-2178 |