Organization
SPRINGHEALTH BEHAVIORAL HEALTH AND INTEGRATED CARE TENNESSEE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGIE MATTINGLY (MANAGER-PROVIDER ENROLLMENT)
(502) 381-3579
Entity
Organization
Contact information
Practice address
1113 N CASTLE HEIGHTS AVE STE E, LEBANON, TN 37087-5640
(859) 200-1650
Mailing address
805 N WHITTINGTON PKWY, LOUISVILLE, KY 40222-7101
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
11/09/2020
Last updated
11/09/2020
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