MEDICARE: OPTIMAL BEHAVIORAL, LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number State
1	101Y00000X	Counselor	TN
2	101YA0400X	Addiction (Substance Use Disorder) Counselor
3	101YP2500X	Professional Counselor
4	103TC0700X	Clinical Psychologist
5	1041C0700X	Clinical Social Worker
6	106H00000X	Marriage & Family Therapist
7	171M00000X	Case Manager/Care Coordinator
8	2084P0800X	Psychiatry Physician
9	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1447629126
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OPTIMAL BEHAVIORAL, LLC

Provider Business Mailing Address
First Line	:	1311 CATHERINE DR
Second Line	:
City	:	CLEVELAND
State	:	TN
Zip	:	37312
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1311 CATHERINE DR
Second Line	:
City	:	CLEVELAND
State	:	TN
Zip	:	37312
Country	:	US
Telephone Number	:	252-327-2365
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	TOMEKIA BLACKMON
Credential	:
Telephone Number	:	252-327-2365

Provider Enumeration Date	:	09/23/2015
Last Update Date	:	09/23/2015

Similar Medicare Providers

1235084419 — ASHLEY COX
Practice Location Address:

150 KING ARTHUR CT NW
CLEVELAND, TN
37312-7106

Practice Phone: 423-919-8222
Practice Fax:

1114428026 — MRS. HOLLY M ENDO FNP-BC
Practice Location Address:

1060 PEERLESS XING NW STE 101
CLEVELAND, TN
37312-3785

Practice Phone: 423-339-3340
Practice Fax: 423-339-9927

1821822917 — SARAH JANE THORNBLOOM SLP/CCC
Practice Location Address:

2276 CANDIES LN NW
CLEVELAND, TN
37312-2619

Practice Phone: 423-328-8745
Practice Fax:

1730769183 — CHRISTOPHER WILLIAMS FNP-BC
Practice Location Address:

645 PAUL HUFF PKWY NW STE 105
CLEVELAND, TN
37312-3150

Practice Phone: 423-790-7750
Practice Fax:

1871449587 — INTOUCH EYE CARE LLC
Practice Location Address:

2700 KEITH ST NW STE 5
CLEVELAND, TN
37312-3767

Practice Phone: 423-339-9937
Practice Fax: 423-339-9699

1720081078 — BARRY SCHULMAN D.P.M.
Practice Location Address:

52 MOUSE CREEK RD NW
CLEVELAND, TN
37312-4839

Practice Phone: 423-559-9700
Practice Fax: 833-379-1859

1376548040 — MR. KEVIN MAURICE DANSBY PA
Practice Location Address:

1060 PEERLESS XING NW
CLEVELAND, TN
37312-3784

Practice Phone: 423-479-4165
Practice Fax:

Directions to “OPTIMAL BEHAVIORAL, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.