| Dogwood Mental Health, Llc | |
|
413 Glenns Lea Sevierville TN 37876 | |
| (865) 705-6279 | |
| Not Available |
| Full Name | Dogwood Mental Health, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 413 Glenns Lea, Sevierville, Tennessee |
| Authorized Official Name and Position | Mary Salerno (OWNER) |
| Authorized Official Contact | 8657056279 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dogwood Mental Health, Llc 4233 Old Niles Ferry Rd Maryville TN 37801-0643 Ph: (865) 705-6279 | Dogwood Mental Health, Llc 413 Glenns Lea Sevierville TN 37876 Ph: (865) 705-6279 |
| NPI Number | 1699480384 |
|---|---|
| Provider Enumeration Date | 01/18/2023 |
| Last Update Date | 07/01/2024 |
| Medicare PECOS PAC ID | 7012373418 |
|---|---|
| Medicare Enrollment ID | O20230509002228 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699480384 | NPI | - | NPPES |
| 092401201 | Other | TN | DRIVERS LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Mary E Salerno |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487157095 PECOS PAC ID: 6901159839 Enrollment ID: I20181023003018 |
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