Holston Health Associates, Pllc | |
143 Fordtown Rd Fall Branch TN 37656-2013 | |
(423) 274-4692 | |
Not Available |
Full Name | Holston Health Associates, Pllc |
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Speciality | Clinic/center - Adult Mental Health |
Location | 143 Fordtown Rd, Fall Branch, 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 |
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Holston Health Associates, Pllc 143 Fordtown Rd Fall Branch TN 37656-2013 Ph: () - | Holston Health Associates, Pllc 143 Fordtown Rd Fall Branch TN 37656-2013 Ph: (423) 274-4692 |
NPI Number | 1275049215 |
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Provider Enumeration Date | 12/27/2017 |
Last Update Date | 12/28/2021 |
Certification Date | 12/28/2021 |
Identifier | Type | State | Issuer |
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1275049215 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |