| Etsu Behavioral Health And Wellness Clinic | |
|
807 University Pkwy 139 Lucille Clement Hall Johnson City TN 37614-6500 | |
| (423) 439-7777 | |
| (423) 439-7780 |
| Full Name | Etsu Behavioral Health And Wellness Clinic |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 807 University Pkwy, Johnson City, Tennessee |
| Authorized Official Name and Position | Kerry L. Holland (CLINIC DIRECTOR) |
| Authorized Official Contact | 4234397777 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Etsu Behavioral Health And Wellness Clinic 807 University Parkway, Campus Box 70416 139 Lucille Clement Hall Johnson City TN 37614 Ph: (423) 439-7777 | Etsu Behavioral Health And Wellness Clinic 807 University Pkwy 139 Lucille Clement Hall Johnson City TN 37614-6500 Ph: (423) 439-7777 |
| NPI Number | 1073872776 |
|---|---|
| Provider Enumeration Date | 05/15/2012 |
| Last Update Date | 05/15/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073872776 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 9378 (Tennessee) | Primary |
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