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2307 W Andrew Johnson Hwy Ste 113 Morristown TN 37814-8500 | |
| (423) 839-0720 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/Center |
| Location | 2307 W Andrew Johnson Hwy Ste 113, Morristown, Tennessee |
| Authorized Official Name and Position | Jerramy Cantrell (OWNER) |
| Authorized Official Contact | 9317615732 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
2307 W Andrew Johnson Hwy Ste 113 Morristown TN 37814-8500 Ph: (423) 839-0720 | 2307 W Andrew Johnson Hwy Ste 113 Morristown TN 37814-8500 Ph: (423) 839-0720 |
| NPI Number | 1316597354 |
|---|---|
| Provider Enumeration Date | 09/11/2019 |
| Last Update Date | 12/08/2020 |
| Certification Date | 12/08/2020 |
| Medicare PECOS PAC ID | 5799199105 |
|---|---|
| Medicare Enrollment ID | O20210126003009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316597354 | NPI | - | NPPES |
| Q060972 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Debbie A Bolton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689893810 PECOS PAC ID: 2567559370 Enrollment ID: I20071025000523 |
| Provider Name | Guy D Clark |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1235160789 PECOS PAC ID: 7517909179 Enrollment ID: I20111121000621 |
Cherokee Health Systems Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 815 W 5th North St, Morristown, TN 37814 Phone: 423-586-5032 Fax: 423-581-8473 | |
Butler Community Health Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 836 W 1st North St Ste 201, Morristown, TN 37814 Phone: 423-616-0213 Fax: 865-381-0521 | |
Wellsprings Counseling Group, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1135 W 3rd North St Ste A, Morristown, TN 37814 Phone: 423-587-9339 Fax: 423-587-3439 | |
Crossroads Integrated Health Services, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 836 W 1st North St, Morristown, TN 37814 Phone: 423-581-5342 Fax: 423-581-8650 | |
Joyful Life Counseling Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 400 W 1st North St, Morristown, TN 37814 Phone: 423-616-0297 Fax: 423-390-0052 | |
Esd Psychological Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1329 W Andrew Johnson Hwy, Morristown, TN 37814 Phone: 865-719-7524 Fax: 423-318-3050 |