Von Mizener, Briana

Von Mizener, Briana is an individual health care provider with primary practice located at 1432 E Lee Hwy , Loudon TN 37774-6440. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / School. Behavioral Health & Social Service Providers / School is her primary health care specialty. Von Mizener, Briana can be contacted via phone (865) 458-8900.

Contact Information

Primary practice address
1432 E Lee Hwy Loudon TN 37774-6440
Phone: (865) 458-8900
Fax: (865) 458-8626
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 2866 Tennessee
Behavioral Health & Social Service Providers / School 103TS0200X 2866 Tennessee

Profile Details

NPI number 1568894301
LBN Legal business name Von Mizener, Briana
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 3rd, 2013
Last updated Aug 21st, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568894301 NPPES
Tennessee MEDICAID Q007204

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