Kingsport Psychiatry & Counseling Services, Pllc | |
1401 Bridgewater Ln Kingsport TN 37660-4164 | |
(423) 245-2406 | |
(423) 245-2404 |
Full Name | Kingsport Psychiatry & Counseling Services, Pllc |
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Speciality | Psychiatry & Neurology - Psychiatry |
Location | 1401 Bridgewater Ln, Kingsport, Tennessee |
Authorized Official Name and Position | Sachdev Somiah (MEMBER MANAGER) |
Authorized Official Contact | 4232452406 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Kingsport Psychiatry & Counseling Services, Pllc 1401 Bridgewater Ln Kingsport TN 37660-4164 Ph: (423) 245-2406 | Kingsport Psychiatry & Counseling Services, Pllc 1401 Bridgewater Ln Kingsport TN 37660-4164 Ph: (423) 245-2406 |
NPI Number | 1790176667 |
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Provider Enumeration Date | 02/12/2015 |
Last Update Date | 02/12/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1790176667 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
2084P0800X | Psychiatry & Neurology - Psychiatry | MD39410 (Tennessee) | Primary |
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Common Thread Aba Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2004 American Way Ste 109, Kingsport, TN 37660 Phone: 423-612-8469 Fax: 833-540-3751 | |
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