Organization
CLEVELAND BEHAVIORAL HEALTH, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NIANSEN LIU M.D., PH.D. (OWNER)
(423) 728-2282
Entity
Organization
Contact information
Practice address
3555 KEITH ST NW, SUITE 102, CLEVELAND, TN 37312-4375
(423) 728-2282
(423) 728-2234
Mailing address
3555 KEITH ST NW, SUITE 102, CLEVELAND, TN 37312-4375
(423) 728-2282
(423) 728-2234
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
36406
TN
Other
Enumeration date
02/08/2008
Last updated
07/25/2009
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