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CROSSROADS TREATMENT CENTERS OF TENNESSEE PC NPI 1255095857


NPI Information

NPI: 1255095857
Provider Name: CROSSROADS TREATMENT CENTERS OF TENNESSEE, PC
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization

CLIA Number: 49D2118932

Address:
7039 MAYNARDVILLE PIKE UNIT 10
KNOXVILLE, TN
ZIP 37918
Phone: (800) 805-6989
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CROSSROADS TREATMENT CENTERS OF TENNESSEE, PC is a clinic center in Knoxville, TN. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). CROSSROADS TREATMENT CENTERS OF TENNESSEE, PC NPI is 1255095857. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

7039 MAYNARDVILLE PIKE UNIT 10
KNOXVILLE, TN
ZIP 37918-735
Phone: (800) 805-6989

The provider's authorized official is Rupert James Mccormac .
The authorized official title is President and has the following contact phone number (864) 527-3145.

The CLIA number assigned to this NPI record is 49D2118932 - other - narcotic treatment center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/29/2021 and was last updated on 10/29/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101Y00000XCounselorNo
2101YA0400XCounselorAddiction (Substance Use Disorder)No
3101YP2500XCounselorProfessionalNo
4251S00000XCommunity/Behavioral HealthNo
5261QM1300XClinic/CenterMulti-SpecialtyNo
6261Q00000XClinic/CenterYes
7261QM2800XClinic/CenterMethadoneNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.