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Organization

EMORY VALLEY CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
HEATHER CUPP LCSW (CLINICAL DIRECTOR)
(865) 813-0595
Entity
Organization

Contact information

Practice address
723 EMORY VALLEY RD, OAK RIDGE, TN 37830-7017
(865) 483-4385
(865) 482-5435
Mailing address
723 EMORY VALLEY RD, OAK RIDGE, TN 37830-7017
(865) 483-4385
(865) 482-5435

Taxonomy

Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
L00000008622
TN
251C00000X
Developmentally Disabled Services Day Training Agency
L00000008623
TN
251C00000X
Developmentally Disabled Services Day Training Agency
L00000008624
TN
251C00000X
Developmentally Disabled Services Day Training Agency
L00000009262
TN
252Y00000X
Early Intervention Provider Agency
L00000008624
TN
253Z00000X
In Home Supportive Care Agency
L0000000008622
TN
261QH0700X
Hearing and Speech Clinic/Center
261QM0850X
Adult Mental Health Clinic/Center
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
L00000008625
TN
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
L00000008626
TN
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
L00000008627
TN
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
L00000008628
TN
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
L00000008629
TN
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
L00000008623
TN
343900000X
Non-emergency Medical Transport (VAN)

Other

Enumeration date
02/20/2007
Last updated
08/03/2020
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