# MOUNTAIN YOUTH ACADEMY

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

## Provider details

- **NPI number:** 1083832117
- **Authorized official:** MISS CLARA E. SMITH LCSW (THERAPIST)
- **Authorized official phone:** (423) 727-9898

## Contact information

- **Practice address:** 332 HOSPITAL RD, MOUNTAIN CITY, TN 37683-4309
- **Practice address phone:** (423) 727-9898
- **Practice address fax:** (423) 727-9899
- **Mailing address:** 332 HOSPITAL RD, MOUNTAIN CITY, TN 37683-4309
- **Mailing address phone:** (423) 727-9898
- **Mailing address fax:** (423) 727-9899

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | L237M21261695 | TN | — |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | L237M21261695 | TN | Yes |

## Other

- **Enumeration date:** 04/23/2007
- **Last updated:** 09/11/2025