Organization
OMNI COMMUNITY HEALTH, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER MOYNIHAN LCSW (PRESIDENT OF BEHAVIORAL HEALTH)
(629) 256-0597
Entity
Organization
Contact information
Practice address
4709 PAPERMILL DR STE 100, KNOXVILLE, TN 37909-1928
(865) 525-0391
(865) 525-0393
Mailing address
301 S PERIMETER PARK DR STE 210, NASHVILLE, TN 37211-4128
(877) 258-8795
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100055600
—
KY
05
—
7100527730
—
KY
05
—
Q004198
—
TN
Enumeration date
11/22/2013
Last updated
12/04/2024
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