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General NPI Number Information
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NPI Number | 1538080676
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Entity Type | Organization
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Legal Business Name | BLUE MATTER PSYCHIATRY AND MENTAL HEALTH PLLC
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Dates
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Enumeration Date | 07/23/2026
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Last Update Date | 07/23/2026
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Provider Practice Location Address
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Address Line | 4307 N ROAN ST STE 10
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City | JOHNSON CITY
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State | TN
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Zip | 37615-4973
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Country | US
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Telephone | 423-607-1777
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Fax | 423-500-7008
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Provider Business Mailing Address
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Address Line | 4307 N ROAN ST STE 10
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City | JOHNSON CITY
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State | TN
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Zip | 37615-4973
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Country | US
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Telephone | 423-607-1777
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Fax | 423-500-7008
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Authorized Official
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Title or Position | OWNER
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Name | STACY AMANDA MORRIS
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Credential | DO
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Telephone | 423-607-1777
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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