FRONTIER HEALTH NPI 1578627006

NPI Information

  • NPI: 1578627006
  • Provider Name: FRONTIER HEALTH
  • Classification: Clinic/Center - 261QM0855X
  • Specialization: Adolescent and Children Mental Health
  • Entity Type: Organization
  • Doing Business As: HOLSTON CHILDREN & YOUTH SERVICES
  • Address: 2001 STONEBROOK PL
    KINGSPORT, TN
    ZIP 37660
  • Phone: (423) 224-1000

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NPI Details

FRONTIER HEALTH is an adolescent and children mental health clinic center in Kingsport, TN. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. FRONTIER HEALTH NPI is 1578627006. The provider is registered as an organization entity type.
The provider Is Doing Business As Holston Children & Youth Services.

The provider's business location address is:

2001 STONEBROOK PL
KINGSPORT, TN
ZIP 37660-000
Phone: (423) 224-1000
Fax: (423) 224-1023

The provider's authorized official is Teresa M Kidd .
The authorized official title is President And Ceo and has the following contact phone number (423) 467-3600.

The enumeration date for this NPI number is 12/20/2006 and was last updated on 12/12/2018.

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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QR0405XClinic/CenterRehabilitation, Substance Use Disorder316TENNESSEENo
2251S00000XCommunity/Behavioral HealthL 214-076-1417TENNESSEENo
3251B00000XCase ManagementL 214-076-1417TENNESSEENo
4261QM0855XClinic/CenterAdolescent and Children Mental HealthL 214-076-1417TENNESSEEYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
149-4923-4MEDICAIDVIRGINIA
2SAME AS MEDICARE #SMEDICAIDTENNESSEE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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