Organization
TRICARE BEHAVORIAL HEALTH LLC
Active
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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