Psychiatric Services Of East Tennessee

LBN: Psychiatric Services Of East Tennessee
Psychiatric Services Of East Tennessee is an health care organization with primary practice located at 123 E Washington Ave , Athens TN 37303. The organization recently has 5 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Agencies / Community/Behavioral Health, Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder, Residential Treatment Facilities / Substance Abuse Rehabilitation Facility. Residential Treatment Facilities / Substance Abuse Rehabilitation Facility is the primary health care specialty. Psychiatric Services Of East Tennessee can be contacted via phone (423) 507-8826, or through Stubblefield, James Robert via phone (865) 722-2761.

Contact Information

Primary practice address
123 E Washington Ave Athens TN 37303
Phone: (423) 507-8826
Fax: (423) 507-8791
Website:
Map and Directions
Authorized official contact:
Name: Stubblefield, James Robert
Phone: (865) 722-2761

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 103TA0400X
Agencies / Community/Behavioral Health 251S00000X
Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder 261QR0405X
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X

Profile Details

NPI number 1871658757
LBN Legal business name Psychiatric Services Of East Tennessee
DBA Doing business as
Authorized official Stubblefield, James Robert
Entity Organization
Organization subpart 1 Yes
Enumeration date Dec 22nd, 2006
Last updated Jan 2nd, 2024 - about 11 months 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 1871658757 NPPES
Tennessee MEDICAID 241084823
Tennessee Other 4084775

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