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FRONTIER HEALTH NPI 1700940251


NPI Information

NPI: 1700940251
Provider Name: FRONTIER HEALTH

Doing Business As: HOLSTON COUNSELING CENTER

Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
1570 WAVERLY RD
KINGSPORT, TN
ZIP 37664
Phone: (423) 224-1300
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FRONTIER HEALTH is a community behavioral health in Kingsport, TN. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. FRONTIER HEALTH NPI is 1700940251. The provider is registered as an organization entity type.
The provider Is Doing Business As Holston Counseling Center.

The provider's business location address is:

1570 WAVERLY RD
KINGSPORT, TN
ZIP 37664-523
Phone: (423) 224-1300
Fax: (423) 224-1375

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 10/4/2018.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251B00000XCase ManagementL 214-076-1418TENNESSEENo
2261QM0850XClinic/CenterAdult Mental HealthL 214-076-1418TENNESSEENo
3261QR0405XClinic/CenterRehabilitation, Substance Use Disorder364TENNESSEENo
4251S00000XCommunity/Behavioral HealthL 214-076-1418TENNESSEEYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1SAME AS MEDICARE #SMEDICAIDTENNESSEE
249-4916-1MEDICAIDTENNESSEE

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: 4/28/2024

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