Healthcare Provider Details

I. General information

NPI: 1366203226
Provider Name (Legal Business Name): BEYOND THE RIBBON PSYCHIATRIC CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/18/2024
Last Update Date: 12/04/2024
Certification Date: 12/04/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9111 CROSS PARK DR STE D200
KNOXVILLE TN
37923-4521
US

IV. Provider business mailing address

9111 CROSS PARK DR STE D200
KNOXVILLE TN
37923-4521
US

V. Phone/Fax

Practice location:
  • Phone: 865-300-1562
  • Fax:
Mailing address:
  • Phone: 865-351-6306
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364SP0808X
TaxonomyPsychiatric/Mental Health Clinical Nurse Specialist
License Number
License Number State

VIII. Authorized Official

Name: CHRISTINA CUTCHER
Title or Position: OWNER
Credential: PMHNP-BC
Phone: 865-351-6306