# SOUTHLAND BEHAVIORAL HEALTH

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

## Provider details

- **NPI number:** 1336596584
- **Authorized official:** PAUL CAUDILL (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (615) 521-9097

## Contact information

- **Practice address:** 9220 PARK WEST BLVD STE 1, KNOXVILLE, TN 37923-4405
- **Practice address phone:** (865) 247-6754
- **Mailing address:** 9220 PARK WEST BLVD STE 1, KNOXVILLE, TN 37923-4405
- **Mailing address phone:** (865) 247-6754

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 20770 | TN | Yes |

## Other

- **Enumeration date:** 05/18/2016
- **Last updated:** 03/07/2023