Holston Counseling Center

LBN: Frontier Health
Holston Counseling Center is an health care organization with primary practice located at 1570 Waverly Rd , Kingsport TN 37664-2523. The organization recently has 4 registered licenses in different health care specialties including Agencies / Case Management, Agencies / Community/Behavioral Health, Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder. Agencies / Community/Behavioral Health is the primary health care specialty. Frontier Health can be contacted via phone (423) 224-1300, or through Kidd, Teresa M via phone (423) 467-3600.

Contact Information

Primary practice address
1570 Waverly Rd Kingsport TN 37664-2523
Phone: (423) 224-1300
Fax: (423) 224-1375
Website:
Map and Directions
Authorized official contact:
Name: Kidd, Teresa M PHD
Phone: (423) 467-3600

Health care specialties

SpecialtyCodeLicense #State
Agencies / Case Management 251B00000X L 214-076-1418 Tennessee
Agencies / Community/Behavioral Health 251S00000X L 214-076-1418 Tennessee
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X L 214-076-1418 Tennessee
Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder 261QR0405X 364 Tennessee

Profile Details

NPI number 1700940251
LBN Legal business name Frontier Health
DBA Doing business as Holston Counseling Center
Authorized official Kidd, Teresa M PHD
Entity Organization
Organization subpart 1 No
Enumeration date Dec 20th, 2006
Last updated Oct 4th, 2018 - about 7 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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Identifiers

StateTypeNumberIssuer
All States NPI 1700940251 NPPES
Tennessee MEDICAID 49-4916-1
Tennessee MEDICAID SAME AS MEDICARE #S

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