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NPI Code Detail

MEDICARE: BEHAVIORAL RESULTS, LLC

MEDICARE: BEHAVIORAL RESULTS, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1144047994
Entity Type Code : Organization
Provider Name (Legal Business Name) : BEHAVIORAL RESULTS, LLC
Provider Business Mailing Address
First Line : 2124 BELVOIR AVE
Second Line :
City : KNOXVILLE
State : TN
Zip : 37917-3305
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2124 BELVOIR AVE
Second Line :
City : KNOXVILLE
State : TN
Zip : 37917-3305
Country : US
Telephone Number : 865-227-2247
Fax Number :
Authorized Official
Title or Position : MANAGING MEMBER
Name : WYATT LUCAS
Credential :
Telephone Number : 865-973-8492
Provider Enumeration Date : 09/23/2024
Last Update Date : 09/23/2024

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Directions to “BEHAVIORAL RESULTS, LLC ” Practice Location

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