TRICARE BEHAVORIAL HEALTH LLC GROUP NPI 1750599650

NPI Information

NPI: 1750599650
Provider Name: TRICARE BEHAVORIAL HEALTH, LLC GROUP
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
4024 FORT HENRY DR
KINGSPORT, TN
ZIP 37663
Phone: (423) 239-4638
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TRICARE BEHAVORIAL HEALTH, LLC GROUP is a mental health counselor in Kingsport, TN. TRICARE BEHAVORIAL HEALTH, LLC GROUP NPI is 1750599650. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4024 FORT HENRY DR
KINGSPORT, TN
ZIP 37663-028
Phone: (423) 239-4638
Fax: (423) 239-3266

The provider's authorized official is L Bruce Mckee .
The authorized official title is Ceo and has the following contact phone number (423) 239-4638.

The enumeration date for this NPI number is 5/21/2007 and was last updated on 8/22/2020.

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
1	101YM0800X	Counselor	Mental Health			Yes

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

NPI Synchronization or Removal

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