| Supportive Living - Bristol | |
|
498 Industrial Dr Bristol TN 37620-5400 | |
| (423) 878-1600 | |
| (423) 878-1606 |
| Full Name | Supportive Living - Bristol |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 498 Industrial Dr, Bristol, Tennessee |
| Authorized Official Name and Position | Teresa M Kidd (PRESIDENT AND CEO) |
| Authorized Official Contact | 4234673600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Supportive Living - Bristol Po Box 9054 Gray TN 37615-9054 Ph: (423) 467-3600 | Supportive Living - Bristol 498 Industrial Dr Bristol TN 37620-5400 Ph: (423) 878-1600 |
| NPI Number | 1699826735 |
|---|---|
| Provider Enumeration Date | 01/16/2007 |
| Last Update Date | 10/05/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699826735 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | L 3(20)24M6-076-1413 (Tennessee) | Primary |
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Ipc Pac Healthcare Services Of Tennessee Pc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1 Medical Park Blvd, Bristol, TN 37620 Phone: 423-844-1121 | |
A Loving Hand Home Care Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 879 Highway 126 Ste B, Bristol, TN 37620 Phone: 423-737-7645 | |
Bristol Evaluation Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1241 Volunteer Pkwy, Ste 436, Bristol, TN 37620 Phone: 423-990-2315 Fax: 423-990-2316 | |
Highlands Mindcare, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 28 Midway St., Suite 1, Bristol, TN 37620 Phone: 423-764-2165 Fax: 423-217-0779 | |
Brandon M. Cole, Lpc, Mhsp, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 739 Bluff City Hwy Ste 8, Bristol, TN 37620 Phone: 423-444-5169 Fax: 423-217-1069 | |
Ernst Psychiatric Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 5th St Ste 340, Shelby Square, Bristol, TN 37620 Phone: 423-990-2100 Fax: 423-652-2884 |