Organization
PATHWAYS MENTAL HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRYSTAL LANE MSN, APRN, PMHNP-BC (OWNER AND PMHNP)
(865) 322-1953
Entity
Organization
Contact information
Practice address
223 MINERAL ST, NEWPORT, TN 37821-3827
(423) 226-5431
Mailing address
7467 ARMORY RD, NEWPORT, TN 37821-6781
(865) 322-1953
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
01/17/2024
Last updated
01/17/2024
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