| Peninsula Lighthouse Peninsula Outpatient Center | |
|
6800 Baum Dr Knoxville TN 37919-7315 | |
| (865) 970-9800 | |
| (865) 380-1461 |
| Full Name | Peninsula Lighthouse Peninsula Outpatient Center |
|---|---|
| Speciality | Clinic/center - Rehabilitation, Substance Use Disorder |
| Location | 6800 Baum Dr, Knoxville, Tennessee |
| Authorized Official Name and Position | John T Geppi (EXECUTIVE VICE PRESIDENT CFO) |
| Authorized Official Contact | 8653746872 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Peninsula Lighthouse Peninsula Outpatient Center Po Box 1999 Louisville TN 37777-1999 Ph: (865) 970-1295 | Peninsula Lighthouse Peninsula Outpatient Center 6800 Baum Dr Knoxville TN 37919-7315 Ph: (865) 970-9800 |
| NPI Number | 1154303162 |
|---|---|
| Provider Enumeration Date | 11/16/2005 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154303162 | NPI | - | NPPES |
| 0440173 | Medicaid | TN |
Lane M. Cook, M.d. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4428 Sutherland Ave, Knoxville, TN 37919 Phone: 865-588-6425 Fax: 865-584-8066 | |
David Friend, Lcsw Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 9631 W Emory Rd., Knoxville, TN 37931 Phone: 865-219-9559 | |
Omega Pain Management, Pc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 6348 Lonas Spring Dr, Knoxville, TN 37909 Phone: 865-337-5137 Fax: 888-839-6922 | |
The Next Door Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2636 Maryville Pike, Knoxville, TN 37920 Phone: 865-934-2890 Fax: 865-934-2894 | |
Mckinnon Mental Health Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6626 Central Avenue Pike, Knoxville, TN 37912 Phone: 865-235-9742 | |
Rha Health Services Tn Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 9041 Executive Park Dr Ste 705, Knoxville, TN 37923 Phone: 895-769-7491 | |
Weatherstone Collaborative Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 323 Ebenezer Rd, Knoxville, TN 37923 Phone: 865-272-9709 |