Healthcare Provider Details

I. General information

NPI: 1225843048
Provider Name (Legal Business Name): TRI-CITIES PEACE AND HEALING, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/10/2025
Last Update Date: 02/10/2025
Certification Date: 02/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

739 BLUFF CITY HWY STE 3
BRISTOL TN
37620-4637
US

IV. Provider business mailing address

739 BLUFF CITY HWY STE 3
BRISTOL TN
37620-4637
US

V. Phone/Fax

Practice location:
  • Phone: 423-534-9195
  • Fax: 423-844-0360
Mailing address:
  • Phone: 423-534-9195
  • Fax: 423-844-0360

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: BRYANT TURNER
Title or Position: PATIENT CARE SPECIALIST
Credential:
Phone: 423-534-9195