| Whidbeyhealth Telehealth | |
|
159 Sun Chase Ct Johnson City TN 37615-5502 | |
| (360) 678-5151 | |
| (360) 678-7676 |
| Full Name | Whidbeyhealth Telehealth |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 159 Sun Chase Ct, Johnson City, Tennessee |
| Authorized Official Name and Position | Ronald Telles (CEO) |
| Authorized Official Contact | 3606787656 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Whidbeyhealth Telehealth Po Box 24789 Seattle WA 98124-0789 Ph: (360) 678-7656 | Whidbeyhealth Telehealth 159 Sun Chase Ct Johnson City TN 37615-5502 Ph: (360) 678-5151 |
| NPI Number | 1780228619 |
|---|---|
| Provider Enumeration Date | 11/04/2019 |
| Last Update Date | 12/02/2021 |
| Certification Date | 12/02/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780228619 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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