Watauga Behavioral Health Services

LBN: Frontier Health
Watauga Behavioral Health Services is an health care organization with primary practice located at 109 W Watauga Ave , Johnson City TN 37604-5621. The organization recently has 4 registered licenses in different health care specialties including Agencies / Case Management, Agencies / Community/Behavioral Health, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder. Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) is the primary health care specialty. Frontier Health can be contacted via phone (423) 232-2600, or through Kidd, Teresa M via phone (423) 467-3600.

Contact Information

Primary practice address
109 W Watauga Ave Johnson City TN 37604-5621
Phone: (423) 232-2600
Fax: (423) 232-2646
Website:
Map and Directions
Authorized official contact:
Name: Kidd, Teresa M PHD
Phone: (423) 467-3600

Health care specialties

SpecialtyCodeLicense #State
Agencies / Case Management 251B00000X L 214-076-1430 Tennessee
Agencies / Community/Behavioral Health 251S00000X L 214-076-1430 Tennessee
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X L 214-076-1430 Tennessee
Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder 261QR0405X 325 Tennessee

Profile Details

NPI number 1386700383
LBN Legal business name Frontier Health
DBA Doing business as Watauga Behavioral Health Services
Authorized official Kidd, Teresa M PHD
Entity Organization
Organization subpart 1 No
Enumeration date Dec 28th, 2006
Last updated Dec 12th, 2018 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386700383 NPPES
Virginia MEDICAID 49-4911-1
Virginia MEDICAID SAME AS MEDICARE #S

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