Healthcare Provider Details

I. General information

NPI: 1982044095
Provider Name (Legal Business Name): PARENTS HELPING INTERCEDE IN THE LIVES OF ADOLESCENTS IN NORTH CARO
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/03/2013
Last Update Date: 01/10/2025
Certification Date: 01/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

836 W 1ST NORTH ST
MORRISTOWN TN
37814-4548
US

IV. Provider business mailing address

836 W 1ST NORTH ST # 103
MORRISTOWN TN
37814-4548
US

V. Phone/Fax

Practice location:
  • Phone: 423-616-0213
  • Fax: 865-381-0521
Mailing address:
  • Phone: 423-616-0213
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code322D00000X
TaxonomyEmotionally Disturbed Childrens' Residential Treatment Facility
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code3245S0500X
TaxonomyChildren's Substance Abuse Rehabilitation Facility
License Number
License Number State

VIII. Authorized Official

Name: WILLIAM BUTLER SR.
Title or Position: BUSINESS MANAGER
Credential:
Phone: 865-306-6362