Organization Active NPI

Behavioral Health and Wellness

  • Adult Mental Health Clinic/Center
  • McKenzie, TN
National Provider Identifier
1285002154
Registry record updated Sep 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
LSW4446 Issued in TN
Legal business name
BEHAVIORAL HEALTH AND WELLNESS
Practice address
21205 Highway 22
MC Kenzie, TN 38201-8683
Phone
(731) 352-1401
Fax
(731) 352-1402
NPI assigned
Sep 9, 2015
Last updated
Sep 25, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2015

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

Authorized official

Name
Mrs. Cloye Anita Barnhart-Gray, LCSWNPI 1528059516
Title
LCSW and Owner
Phone
(731) 336-8101

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X LSW4446 TN Primary

Addresses

Primary practice location

21205 Highway 22
MC Kenzie, TN 38201-8683

Mailing address

785 Old Paris Rd
MC Kenzie, TN 38201-8467
Phone (731) 336-8101

National Provider Directory

National Provider Directory

Locations

21205 Highway 22
Mc Kenzie, TN 38201
Phone (731) 352-1401

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1441756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443139200000",
    "number": "1285002154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "785 OLD PARIS RD",
            "city": "MC KENZIE",
            "state": "TN",
            "postal_code": "382018467",
            "telephone_number": "731-336-8101",
            "fax_number": "731-352-1402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21205 HIGHWAY 22",
            "city": "MC KENZIE",
            "state": "TN",
            "postal_code": "382018683",
            "telephone_number": "731-352-1401",
            "fax_number": "731-352-1402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEHAVIORAL HEALTH AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-09",
        "last_updated": "2015-09-25",
        "status": "A",
        "authorized_official_last_name": "BARNHART-GRAY",
        "authorized_official_first_name": "CLOYE",
        "authorized_official_middle_name": "ANITA",
        "authorized_official_title_or_position": "LCSW AND OWNER",
        "authorized_official_telephone_number": "731-336-8101",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "TN",
            "license": "LSW4446",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McKenzie, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2015; 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.