institution
Mountain States Health Alliance Out-patient Behavioral Health
Health Service Psychologist in Kingsport, Tennessee
NPI 1083936033

Mountain States Health Alliance Out-patient Behavioral Health is a Health Service Psychologist based in Johnson City, TN and is specialized in Health Service. Mountain States Health Alliance Out-patient Behavioral Health practices in Kingsport, TN. The NPI Number for Mountain States Health Alliance Out-patient Behavioral Health is 1083936033 and holds a License No. (Tennessee).

The current practice location address for Mountain States Health Alliance Out-patient Behavioral Health is 2012 Brookside Dr, Kingsport, TN and can be reached out via phone at 423-857-5566 and via fax at 423-857-5564. You can also correspond with Mountain States Health Alliance Out-patient Behavioral Health through the mailing address at 1021 W OAKLAND AVE, JOHNSON CITY, TN - 37604-2191 (mailing address contact number: 423-952-3104).

Location: 2012 Brookside Dr, Kingsport, TN, 37604-2191
institution
Provider Profile Details
NPI Number
1083936033
Provider Name
Mountain States Health Alliance Out-patient Behavioral Health
Credential
Provider Entity Type
Organization
Address
2012 Brookside Dr, Kingsport, TN, 37604-2191
Phone Number
423-857-5566
Fax Number
423-857-5564
Provider Enumeration Date
02/18/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2012 Brookside Dr
City
State
Zip
37660-4645
Phone Number
423-857-5566
Fax Number
423-857-5564
person
Provider Business Mailing Address Details
Address
2012 Brookside Dr
City
State
Zip
37660-4645
Phone Number
423-857-5566
Fax Number
423-857-5564
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Health Service
Taxonomy
License No.
()
Definition
A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974).
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