Behavioral Health of Rocky Top, LLC

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

Legal business name

BEHAVIORAL HEALTH OF ROCKY TOP, LLC

Practice address

210 Industrial Park Dr
Rocky Top, TN 37769-2301

Phone

(865) 218-8966

NPI assigned

Oct 6, 2017

Last updated

Jan 20, 2021By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ron Lawrence

Title

President

Phone

(865) 218-8966

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1507248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611100800000",
    "number": "1174033906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 23376",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379331376",
            "telephone_number": "865-218-8966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 INDUSTRIAL PARK DR",
            "city": "ROCKY TOP",
            "state": "TN",
            "postal_code": "377692301",
            "telephone_number": "865-218-8966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEHAVIORAL HEALTH OF ROCKY TOP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-06",
        "last_updated": "2021-01-20",
        "certification_date": "2021-01-20",
        "status": "A",
        "authorized_official_last_name": "LAWRENCE",
        "authorized_official_first_name": "RON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "865-218-8966"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cheyenne K Allen, PT
• Rachel Boyd Barnard, PT, DPT
• Behavioral Health of Rocky Top, LLC
• Brianna Taylor Blakely, PA
• Dac of Rocky Top LLC
• Ashton Nicole Daniel
• Gary Christopoher Daugherty, LPN
• Tiffany Daugherty

• General Acute Care Hospital in Rocky Top, TN
• Providers in Rocky Top, TN by specialty
• General Acute Care Hospital in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.