| Agape Youth Behavioral Health | |
|
1360 Mackey Branch Dr Chattanooga TN 37421-3225 | |
| (423) 443-3336 | |
| (423) 464-7510 |
| Full Name | Agape Youth Behavioral Health |
|---|---|
| Speciality | Clinic/Center |
| Location | 1360 Mackey Branch Dr, Chattanooga, Tennessee |
| Authorized Official Name and Position | Courtney Cantrell (CREDENTIALING) |
| Authorized Official Contact | 4234433336 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Agape Youth Behavioral Health 1360 Mackey Branch Dr Chattanooga TN 37421-3225 Ph: (423) 443-3336 | Agape Youth Behavioral Health 1360 Mackey Branch Dr Chattanooga TN 37421-3225 Ph: (423) 443-3336 |
| NPI Number | 1528405925 |
|---|---|
| Provider Enumeration Date | 05/27/2013 |
| Last Update Date | 02/07/2023 |
| Certification Date | 02/07/2023 |
| Medicare PECOS PAC ID | 1254731417 |
|---|---|
| Medicare Enrollment ID | O20210610000931 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528405925 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | 31714 (Tennessee) | Primary |
| Provider Name | Cassandra G Simms |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1437117926 PECOS PAC ID: 8022081595 Enrollment ID: I20040813000955 |
| Provider Name | Vicki R Deweese |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164411559 PECOS PAC ID: 2769770452 Enrollment ID: I20161012002086 |
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