SOUTHLAND BEHAVIORAL HEALTH NPI 1336596584

NPI Information

NPI: 1336596584
Provider Name: SOUTHLAND BEHAVIORAL HEALTH
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Organization

Specialization: Psychiatric/Mental Health

CLIA Number: 44D2216841

Address:
9220 PARK WEST BLVD STE 1
KNOXVILLE, TN
ZIP 37923
Phone: (865) 247-6754
Get Directions

SOUTHLAND BEHAVIORAL HEALTH is a psychiatric/mental health nurse practitioner in Knoxville, TN. SOUTHLAND BEHAVIORAL HEALTH NPI is 1336596584. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

9220 PARK WEST BLVD STE 1
KNOXVILLE, TN
ZIP 37923-405
Phone: (865) 247-6754

The provider's authorized official is Paul Caudill .
The authorized official title is Chief Executive Officer and has the following contact phone number (615) 521-9097.

The CLIA number assigned to this NPI record is 44D2216841 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/18/2016 and was last updated on 3/7/2023.

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
1	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	20770	TENNESSEE	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	20770	OTHER	TENNESSEE	TENNESSEE STATE LICENSE NUMBER

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

NPI Synchronization or Removal

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.

« Previous NPI

Next NPI »