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ETSU BEHAVIORAL HEALTH AND WELLNESS CLINIC
NPI 1073872776
Community/Behavioral Health in Johnson City, TN

Active since May 15, 2012
807 UNIVERSITY PKWY, 139 LUCILLE CLEMENT HALL, JOHNSON CITY, TN 37614(423) 439-7777(423) 439-7780 Get Directions Write a Review

NPPES record last updated: May 15, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Etsu Behavioral Health And Wellness Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ETSU BEHAVIORAL HEALTH AND WELLNESS CLINIC (NPI 1073872776) is a healthcare organization registered as a community/behavioral health in Johnson City, Tennessee and active in the NPI registry since May 2012. The organization lists Kerry L. Holland, Clinic Director, as its authorized official.

NPPES Registry Identity

NPI1073872776
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameETSU BEHAVIORAL HEALTH AND WELLNESS CLINIC
Location Address807 UNIVERSITY PKWY, 139 LUCILLE CLEMENT HALLJohnson City, TN 37614-6500
Mailing Address807 University Parkway, Campus Box 70416, 139 Lucille Clement HallJohnson City, TN 37614 · (423) 439-7777 · Fax (423) 439-7780
Phone(423) 439-7777
Fax(423) 439-7780
Organization SubpartYesParent: East Tennessee State University
Authorized OfficialKerry L. HollandClinic Director · (423) 439-7777
Enumeration DateMay 15, 2012
✔ NPI 1073872776 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
License✔ Licensed in TN · 9378
Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

807 UNIVERSITY PKWY, Johnson City, TN 37614
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Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SADIE P. HUTSON WHNP
Nurse Practitioner (Women's Health)
807 UNIVERSITY PKWY, NICKS HALL, ROOM 160
JOHNSON CITY, TN 37614
Washington County (423) 439-4225
ELIZABETH M. VIROST FNP
Nurse Practitioner (Family)
807 UNIVERSITY PKWY
JOHNSON CITY, TN 37614
Washington County (423) 439-4225
JANET MICHELLE EKSTROM M.S., CCC-SLP
Speech-Language Pathologist
807 UNIVERSITY PKWY, ETSU CAMPUS LAMB HALL ROOM 361
JOHNSON CITY, TN 37614
Washington County (423) 439-4355
DR. PEGGY JOYCE CANTRELL
Psychologist (Clinical)
807 UNIVERSITY PKWY, ETSU CAMPUS
JOHNSON CITY, TN 37614
Washington County (423) 439-7777
ROBERT C. BARNHART PT, SCDPT, PCS
Physical Therapist
807 UNIVERSITY PKWY, ETSU CAMPUS LAMB HALL ROOM 361
JOHNSON CITY, TN 37614
Washington County (423) 439-4584
ASHLEY M. RICE CCC-SLP
Speech-Language Pathologist
807 UNIVERSITY PKWY, LAMB HALL, RM 361
JOHNSON CITY, TN 37614
Washington County (423) 439-4584
KEATON STEELE ANDRUS PHARMD
Student in an Organized Health Care Education/Training Program
807 UNIVERSITY PKWY
JOHNSON CITY, TN 37614
Washington County (423) 439-2068
MRS. MELISHA DAWN CHRISTIAN NP-C
Nurse Practitioner (Family)
807 UNIVERSITY PKWY, BOX 70267
JOHNSON CITY, TN 37614
Washington County (423) 439-1000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Etsu Behavioral Health And Wellness Clinic's NPI number?

The NPI number for Etsu Behavioral Health And Wellness Clinic is 1073872776. It was assigned to this organization in the NPPES registry on May 15, 2012.

Where is Etsu Behavioral Health And Wellness Clinic located?

Etsu Behavioral Health And Wellness Clinic is located at 807 University Pkwy 139 Lucille Clement Hall, Johnson City, TN 37614. The listed phone number is (423) 439-7777.

What is Etsu Behavioral Health And Wellness Clinic's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Etsu Behavioral Health And Wellness Clinic was last updated on May 15, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.