Essential Care Behavior Health Services LLC
Organization Active NPI Clinical Social Worker · Cypress Inn, TN
NPI 1700499332 · NPPES record last updated Aug 24, 2020
Key facts
- NPI
- 1700499332
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Social Worker 1041C0700X
- Legal business name
- ESSENTIAL CARE BEHAVIOR HEALTH SERVICES LLC
- Practice address
- 4038 Walter Pigg Rd
Cypress Inn, TN 38452-4632 - Phone
- (731) 727-7770
- NPI assigned
- Aug 24, 2020
- Organization subpart
- No
Authorized official
- Name
- Eural Daniel Jr., LCSW
- Title
- Owner
- Phone
- (731) 727-7770
Practitioners 1
-
Eural D Daniel Jr., LCSW
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200915000332 | TN | Part B Supplier - Clinic/Group Practice | 5698193217 |
Receives reassigned benefits from 1 practitioner Practice locations: Cypress Inn, TN |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker |
1041C0700X | Yes |
Addresses
Primary practice location
4038 Walter Pigg Rd
Cypress Inn, TN 38452-4632
Mailing address
4038 Walter Pigg Rd
Cypress Inn, TN 38452-4632
Phone (731) 727-7770
Other providers in Cypress Inn, TN
All providers in Cypress Inn, TN · Clinical Social Worker in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 24, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.