# EMORY VALLEY CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073657136
- **Authorized official:** HEATHER CUPP LCSW (CLINICAL DIRECTOR)
- **Authorized official phone:** (865) 813-0595

## Contact information

- **Practice address:** 723 EMORY VALLEY RD, OAK RIDGE, TN 37830-7017
- **Practice address phone:** (865) 483-4385
- **Practice address fax:** (865) 482-5435
- **Mailing address:** 723 EMORY VALLEY RD, OAK RIDGE, TN 37830-7017
- **Mailing address phone:** (865) 483-4385
- **Mailing address fax:** (865) 482-5435

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251C00000X | Developmentally Disabled Services Day Training Agency | L00000008622 | TN | — |
| 251C00000X | Developmentally Disabled Services Day Training Agency | L00000008623 | TN | — |
| 251C00000X | Developmentally Disabled Services Day Training Agency | L00000008624 | TN | — |
| 251C00000X | Developmentally Disabled Services Day Training Agency | L00000009262 | TN | — |
| 252Y00000X | Early Intervention Provider Agency | L00000008624 | TN | — |
| 253Z00000X | In Home Supportive Care Agency | L0000000008622 | TN | — |
| 261QH0700X | Hearing and Speech Clinic/Center | — | NULL | — |
| 261QM0850X | Adult Mental Health Clinic/Center | — | NULL | — |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | L00000008625 | TN | Yes |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | L00000008626 | TN | — |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | L00000008627 | TN | — |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | L00000008628 | TN | — |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | L00000008629 | TN | — |
| 320900000X | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | L00000008623 | TN | — |
| 343900000X | Non-emergency Medical Transport (VAN) | — | NULL | — |

## Other

- **Enumeration date:** 02/20/2007
- **Last updated:** 08/03/2020