Organization
TRICARE BEHAVORIAL HEALTH LLC
Active
Other names
STRESS CARE ASSOCIATES
Organization subpart
No
Provider details
NPI number
Authorized official
LOWELL BRUCE MCKEE (CEO)
(423) 239-2190
Entity
Organization
Contact information
Practice address
4024 FORT HENRY DR, KINGSPORT, TN 37663-2028
(423) 239-4638
(423) 239-5249
Mailing address
4024 FORT HENRY DR, KINGSPORT, TN 37663-2028
(423) 239-4638
(423) 239-5249
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
L 2(14)M2-106-1632
TN
251S00000X
Community/Behavioral Health Agency
L 2(14)M2-106-1633
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
L 2(14)M2-106-1632
STRESS CARE ASSOC LICENSE
TN
01
—
L 2(14)M2-106-1633
TRICARE BRISTOL LICENSE
TN
Enumeration date
01/09/2007
Last updated
02/19/2008
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