NPI Lookup
NPI Lookup from the NPI Registry — National Provider Identifier Database

Contact Information

BEHAVIORAL HEALTH OF GREENEVILLE, INC.
122 VILLAGE DR
SUITE 1
GREENEVILLE, TN37745-4228
 Phone: 423-787-0238
 Fax: 423-787-0796
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Mental Health (Including Community Mental Health Center)

261QM0801X
Indicates primary specialty

NPI Profile & details for BEHAVIORAL HEALTH OF GREENEVILLE, INC.

NPI Number 1992777841
LBN Legal business name BEHAVIORAL HEALTH OF GREENEVILLE, INC.
Authorized official TIMOTHY SULLIVAN - (MEDICAL DIRECTOR)
Entity Organization
Organization subpart 1 Not specified
Enumeration date 02/05/2006
Last updated 07/09/2007 - About 9 years ago
Identifiers
TN Medicaid 3882277
TN Medicaid 3926726
TN Medicare (Unspecified) 3926726 MARY JANE STOKLEY LCSW
TN Medicare (Unspecified) 3882277 TIMOTHY J SULLIVAN JR MD
TN Medicare UPIN A99555
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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