Organization
BEHAVIORAL HEALTH AND WELLNESS
Active
Organization
BEHAVIORAL HEALTH AND WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CLOYE ANITA BARNHART-GRAY LCSW (LCSW AND OWNER)
(731) 336-8101
Entity
Organization
Contact information
Practice address
21205 HIGHWAY 22, MC KENZIE, TN 38201-8683
(731) 352-1401
(731) 352-1402
Mailing address
785 OLD PARIS RD, MC KENZIE, TN 38201-8467
(731) 336-8101
(731) 352-1402
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
LSW4446
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1507746
—
TN
Enumeration date
09/09/2015
Last updated
09/25/2015
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