| Bright Star Child And Adolescent Psychiatry Llc | |
|
641 Morganton Square Dr Maryville TN 37801-4763 | |
| (865) 724-1590 | |
| (865) 724-1591 |
| Full Name | Bright Star Child And Adolescent Psychiatry Llc |
|---|---|
| Speciality | Pediatrics |
| Location | 641 Morganton Square Dr, Maryville, Tennessee |
| Authorized Official Name and Position | Linda Cabage (OWNER) |
| Authorized Official Contact | 8657241590 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bright Star Child And Adolescent Psychiatry Llc 641 Morganton Square Dr Maryville TN 37801-4763 Ph: (865) 724-1592 | Bright Star Child And Adolescent Psychiatry Llc 641 Morganton Square Dr Maryville TN 37801-4763 Ph: (865) 724-1590 |
| NPI Number | 1609424274 |
|---|---|
| Provider Enumeration Date | 08/27/2019 |
| Last Update Date | 05/16/2022 |
| Certification Date | 05/16/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609424274 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | (* (Not Available)) | Secondary |
| 208000000X | Pediatrics | (* (Not Available)) | Primary |
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