Etsu Behavioral Health And Wellness Clinic

LBN: Etsu Behavioral Health And Wellness Clinic
Etsu Behavioral Health And Wellness Clinic is an health care organization with primary practice located at 807 University Pkwy 139 Lucille Clement Hall, Johnson City TN 37614-6500. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Etsu Behavioral Health And Wellness Clinic can be contacted via phone (423) 439-7777, or through Holland, Kerry L. via phone (423) 439-7777.

Contact Information

Primary practice address
807 University Pkwy 139 Lucille Clement Hall Johnson City TN 37614-6500
Phone: (423) 439-7777
Fax: (423) 439-7780
Website:
Map and Directions
Authorized official contact:
Name: Holland, Kerry L. PH.D.
Phone: (423) 439-7777

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X 9378 Tennessee

Profile Details

NPI number 1073872776
LBN Legal business name Etsu Behavioral Health And Wellness Clinic
DBA Doing business as
Authorized official Holland, Kerry L. PH.D.
Entity Organization
Organization subpart 1 Yes
Enumeration date May 15th, 2012
Last updated May 15th, 2012 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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