Organization
PAPILLON BEHAVIORAL HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICHOLAS PORTA PSYD (OWNER)
(423) 529-0385
Entity
Organization
Contact information
Practice address
2514 1/2 WESLEY ST STE 2, JOHNSON CITY, TN 37601
(423) 529-0385
(423) 414-2699
Mailing address
2514 1/2 WESLEY ST STE 2, JOHNSON CITY, TN 37601-1754
(423) 529-0385
(423) 414-2699
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
P0000003473
TN
Other
Enumeration date
01/18/2018
Last updated
06/07/2018
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