1700223773

Everything you always wanted to know about BEARDEN BEHAVIORAL HEALTH DR. FORTICH JAIRO but were afraid to ask.

BEARDEN BEHAVIORAL HEALTH DR. FORTICH JAIRO

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Organization Name Authorized Official Prefix Authorized Official Last Name Authorized Official First Name
BEARDEN BEHAVIORAL HEALTH DR. FORTICH JAIRO
Gender:
none
Enumeration date:
2013-05-30
Last update date:
2016-04-11
Current as of:
Is sole proprietor?:
No
Is organization subpart?:
No
In PECOS?:
No

Identifiers

identifier description issuer state

Taxonomies

Taxonomy State License Number Primary?
302F00000X Exclusive Provider Organization none none

Phone Numbers

Type Number
Mailing Address Telephone Number 8652126600
Practice Location Address Telephone Number 8652126600
Authorized Official Telephone Number 8652126600
Mailing Address Fax Number 8653132149
Practice Location Address Fax Number 8653132149

Addresses

Type Address City State Postal Country
Mailing Address 8848 CEDAR SPRINGS LN SUITE 201 KNOXVILLE TN 37923 TN
Practice Location Address 8848 CEDAR SPRINGS LN SUITE 201 KNOXVILLE TN 37923 TN

Other NPI Records that share a phone number

NPI Name Address State City
1245356799 BURKETT, JOELLE
Individual
8848 CEDAR SPRINGS LN TN KNOXVILLE
1265584478 WILKINSON, SONDRA
Individual
8848 CEDAR SPRINGS LANE TN KNOXVILLE
1538497052 MILES, TABITHA
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8848 CEDAR SPRINGS LN TN KNOXVILLE
1912275512 CATHEY, JESSICA
Individual
8848 CEDAR SPRINGS LN TN KNOXVILLE
1659716934 SKYDOC GROUP
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8848 CEDAR SPRINGS LN TN KNOXVILLE

Other NPI Records that share an address

NPI Name Address State City
1245356799 BURKETT, JOELLE
Individual
8848 CEDAR SPRINGS LN TN KNOXVILLE
1477864031 P3 COMPOUNDING, LLC
Organization
8848 CEDAR SPRINGS LN TN KNOXVILLE
1538497052 MILES, TABITHA
Individual
8848 CEDAR SPRINGS LN TN KNOXVILLE
1659716934 SKYDOC GROUP
Organization
8848 CEDAR SPRINGS LN TN KNOXVILLE
1912275512 CATHEY, JESSICA
Individual
8848 CEDAR SPRINGS LN TN KNOXVILLE