Steppingstone Retreat For Enhanced Living Llc | |
781 Sunset Dr Dayton TN 37321-5634 | |
(423) 775-3618 | |
(423) 775-3618 |
Full Name | Steppingstone Retreat For Enhanced Living Llc |
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Speciality | Clinic/Center |
Location | 781 Sunset Dr, Dayton, Tennessee |
Authorized Official Name and Position | William R. Boyd (LICENSED PSYCHOLOGIST) |
Authorized Official Contact | 4237753618 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Steppingstone Retreat For Enhanced Living Llc Po Box 733 Dayton TN 37321-0733 Ph: (423) 775-3618 | Steppingstone Retreat For Enhanced Living Llc 781 Sunset Dr Dayton TN 37321-5634 Ph: (423) 775-3618 |
NPI Number | 1780004432 |
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Provider Enumeration Date | 04/21/2014 |
Last Update Date | 04/21/2014 |
Medicare PECOS PAC ID | 2769606128 |
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Medicare Enrollment ID | O20140605000830 |
Identifier | Type | State | Issuer |
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1780004432 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | P0001746 (Tennessee) | Primary |
Provider Name | William R Boyd |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1356431407 PECOS PAC ID: 1254469000 Enrollment ID: I20100514000557 |
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