SBH-KINGSPORT NPI 1174038749

NPI Information

SBH-KINGSPORT is a psychiatric hospital in Kingsport, TN. The provider is an organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings. SBH-KINGSPORT NPI is 1174038749. The provider is registered as an organization entity type.
The provider Is Doing Business As Creekside Behavioral Health.

The provider's business location address is:

1025 EXECUTIVE PARK BLVD
KINGSPORT, TN
ZIP 37660
Phone: (901) 969-3100

The provider's authorized official is Paul Gilbert .
The authorized official title is Chief Legal Officer and has the following contact phone number (615) 716-4924.

The CLIA number assigned to this NPI record is 44D2296617 - other - outpatient behavioral hea with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/5/2017 and was last updated on 10/4/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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