Active NPI
Behavioral Health and Wellness
- Adult Mental Health Clinic/Center
- McKenzie, TN
National Provider Identifier
1285002154
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Mental Health Clinic/Center
- License
- LSW4446
- 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, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Cloye Anita Barnhart-Gray, LCSW
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Clinical Social Worker
- McKenzie, TN
- NPI 1528059516
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
- Aseracare Hospice - Tennessee, LLC (AseraCare Hospice)
- Carson Elise Bailey, COTA/L
- Laura Baker, NP-C
- Cloye Anita Barnhart-Gray, LCSW
- Madison Beaird, COTA
- Bethel Universtiy
- Bethel Universtiy (Bethel Sports Medicine)
- Trent Wade Borders, MD
- Botanical Emergency Physicians, LLC
- Meredith Ann Brown, NP-C, CHPN, MSN
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.