Trailhead Treatment Center

LBN: Trailhead Treatment Center
Trailhead Treatment Center is an health care organization with primary practice located at 2607 Kingston Pike Ste 2 , Knoxville TN 37919-3336. The organization recently has only one registered license in Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), which is considered as the primary health care specialty. Trailhead Treatment Center can be contacted via phone (865) 309-5010, or through Hill, James A via phone (865) 309-5010.

Contact Information

Primary practice address
2607 Kingston Pike Ste 2 Knoxville TN 37919-3336
Phone: (865) 309-5010
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Hill, James A LPC-MHSP, CPA
Phone: (865) 309-5010

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X

Profile Details

NPI number 1104469931
LBN Legal business name Trailhead Treatment Center
DBA Doing business as
Authorized official Hill, James A LPC-MHSP, CPA
Entity Organization
Organization subpart 1 No
Enumeration date Oct 24th, 2019
Last updated Oct 24th, 2019 - about 5 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 1104469931 NPPES
Tennessee MEDICAID 300668793

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