Behavioral Health and Wellness
Organization Active NPI Adult Mental Health Clinic/Center · MC Kenzie, TN
NPI 1285002154 · NPPES record last updated Sep 25, 2015
Key facts
- NPI
- 1285002154
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Adult Mental Health Clinic/Center 261QM0850X
- License
- LSW4446 (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
- Organization subpart
- No
Authorized official
- Name
- Mrs. Cloye Anita Barnhart-Gray, LCSW
- Title
- LCSW and Owner
- Phone
- (731) 336-8101
Practitioners 1
National Provider Directory
Locations
21205 Highway 22
Mc Kenzie, TN 38201
Phone (731) 352-1401
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Mental Health Clinic/Center | 261QM0850X | LSW4446 | TN | Yes |
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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1507746 | Medicaid | TN |
Other providers in MC Kenzie, TN
- Holly Anne Arnold
- Aseracare Hospice - Tennessee, LLC
- Carson Elise Bailey
- Laura Baker
- Cloye Anita Barnhart-Gray
- Bethel Universtiy
- Bethel Universtiy
- Botanical Emergency Physicians, LLC
- Meredith Ann Brown
- Thomas E Brown
All providers in MC Kenzie, TN · Adult Mental Health Clinic/Center in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 25, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.