# TRICARE BEHAVORIAL HEALTH, LLC GROUP

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

## Provider details

- **NPI number:** 1750599650
- **Authorized official:** L BRUCE MCKEE (CEO)
- **Authorized official phone:** (423) 239-4638

## Contact information

- **Practice address:** 4024 FORT HENRY DR, KINGSPORT, TN 37663-2028
- **Practice address phone:** (423) 239-4638
- **Practice address fax:** (423) 239-3266
- **Mailing address:** 4024 FORT HENRY DR, KINGSPORT, TN 37663-2028
- **Mailing address phone:** (423) 239-4638
- **Mailing address fax:** (423) 239-3266

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |

## Other

- **Enumeration date:** 05/21/2007
- **Last updated:** 08/22/2020