| Springhealth Behavioral Health And Integrated Care Tennessee Llc | |
|
1113 N Castle Heights Ave Ste E Lebanon TN 37087-5640 | |
| (859) 200-1650 | |
| Not Available |
| Full Name | Springhealth Behavioral Health And Integrated Care Tennessee Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1113 N Castle Heights Ave Ste E, Lebanon, Tennessee |
| Authorized Official Name and Position | Angie Mattingly (MANAGER-PROVIDER ENROLLMENT) |
| Authorized Official Contact | 5023813579 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Springhealth Behavioral Health And Integrated Care Tennessee Llc 805 N Whittington Pkwy Louisville KY 40222-7101 Ph: () - | Springhealth Behavioral Health And Integrated Care Tennessee Llc 1113 N Castle Heights Ave Ste E Lebanon TN 37087-5640 Ph: (859) 200-1650 |
| NPI Number | 1972104693 |
|---|---|
| Provider Enumeration Date | 11/09/2020 |
| Last Update Date | 11/09/2020 |
| Certification Date | 11/09/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972104693 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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