Organization
FRONTIER HEALTH
Active
Other names
Hancock County Mental Health Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KRISTIE HAMMONDS PHD (PRESIDENT AND CEO)
(423) 467-3600
Entity
Organization
Contact information
Practice address
210 RIVER ROAD, SNEEDVILLE, TN 37869-3904
(423) 733-2216
(423) 733-2450
Mailing address
PO BOX 9054, GRAY, TN 37615-9054
(423) 467-3600
(423) 467-3644
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
L 214-076-1415
TN
251S00000X
Community/Behavioral Health Agency
L 214-076-1415
TN
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
L 214-076-1415
TN
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
372
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SAME AS MEDICARE #S
—
TN
Enumeration date
12/20/2006
Last updated
01/28/2022
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