Organization
BEHAVIORAL HEALTH OF GREENEVILLE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY J SULLIVAN JR. MD (MEDICAL DIRECTOR)
(423) 787-0238
Entity
Organization
Contact information
Practice address
122 VILLAGE DR, SUITE 1, GREENEVILLE, TN 37745-4228
(423) 787-0238
(423) 787-0796
Mailing address
122 VILLAGE DR, SUITE 1, GREENEVILLE, TN 37745-4228
(423) 787-0238
(423) 787-0796
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3882277
—
TN
05
—
3926726
—
TN
Enumeration date
02/05/2006
Last updated
08/22/2020
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