Organization Name: | BEHAVIORAL HEALTH AND WELLNESS |
NPI Number: | 1285002154 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CLOYE ANITA BARNHART-GRAY (LCSW AND OWNER) |
Mailing Address: | 21205 Highway 22 Mc Kenzie |
State: | TN US |
Postal Code: | 382018683 |
Phone Number: | 7313521401 |
Fax Number: | 7313521402 |
NPI Enumeration Date: | 09/09/2015 |
NPI Last Update Date: | 09/25/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QM0850X |
License Number: | LSW4446 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Adult Mental Health |
Taxonomy Definition: | An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |