| Three Rivers Behavioral Health Llc | |
|
1531 Hunt Club Blvd Ste 106 Gallatin TN 37066-6096 | |
| (615) 989-0808 | |
| (615) 989-0808 |
| Full Name | Three Rivers Behavioral Health Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1531 Hunt Club Blvd Ste 106, Gallatin, Tennessee |
| Authorized Official Name and Position | Darwin Sunday (OWNER/NURSEPRACTITIONER) |
| Authorized Official Contact | 6159890808 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Three Rivers Behavioral Health Llc 1531 Hunt Club Blvd Ste 106 Gallatin TN 37066-6096 Ph: (615) 989-0808 | Three Rivers Behavioral Health Llc 1531 Hunt Club Blvd Ste 106 Gallatin TN 37066-6096 Ph: (615) 989-0808 |
| NPI Number | 1639914674 |
|---|---|
| Provider Enumeration Date | 07/01/2024 |
| Last Update Date | 10/28/2024 |
| Certification Date | 10/28/2024 |
| Medicare PECOS PAC ID | 6002342086 |
|---|---|
| Medicare Enrollment ID | O20241213002433 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639914674 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Douglas Hinten Emch |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1891861597 PECOS PAC ID: 7315831526 Enrollment ID: I20040210000229 |
| Provider Name | John D Baloun |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821327917 PECOS PAC ID: 1658327911 Enrollment ID: I20101029001222 |
| Provider Name | Darwin E Sunday |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295021400 PECOS PAC ID: 4183851843 Enrollment ID: I20131230001315 |
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