Organization
BELMONT BEHAVIORAL HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CANDISE SHANTAE BELMONT APRN (OWNER)
(931) 221-2881
Entity
Organization
Contact information
Practice address
103 JEFFERSON ST STE 100, CLARKSVILLE, TN 37040-8681
(931) 221-2881
(866) 886-8183
Mailing address
2250 WILMA RUDOLPH BLVD # F247, CLARKSVILLE, TN 37040-8452
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
—
—
Other
Enumeration date
12/21/2018
Last updated
12/21/2018
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