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Contact Information

BRIGHT STAR CHILD AND ADOLESCENT PSYCHIATRY LLC
641 MORGANTON SQUARE DR
MARYVILLE, TN37801-4763
 Phone: 865-724-1590
 Fax: 865-724-1591
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
 

Child & Adolescent Psychiatry

2084P0804X 86 Physician/Neuropsychiatry
Indicates primary specialty

NPI Profile & details for BRIGHT STAR CHILD AND ADOLESCENT PSYCHIATRY LLC

NPI Number 1609424274
LBN Legal business name BRIGHT STAR CHILD AND ADOLESCENT PSYCHIATRY LLC
Authorized official LINDA CABAGE - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 08/27/2019
Last updated 05/16/2022 - About 4 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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