Healthcare Provider Details

I. General information

NPI: 1659202984
Provider Name (Legal Business Name): NEURO PERSPECTIVE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/26/2026
Last Update Date: 05/26/2026
Certification Date: 05/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2137 VOLUNTEER PKWY STE 5
BRISTOL TN
37620-6717
US

IV. Provider business mailing address

240 2ND AVE
BRISTOL TN
37620-8822
US

V. Phone/Fax

Practice location:
  • Phone: 423-955-6925
  • Fax:
Mailing address:
  • Phone: 423-646-4002
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: DONNA KENDRICK
Title or Position: OWNER
Credential: APRN
Phone: 423-646-4002