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HOLSTON CHILDREN & YOUTH SERVICES
NPI 1578627006
Clinic/Center - Adolescent and Children Mental Health in Kingsport, TN

Active since December 20, 2006
2001 STONEBROOK PL, KINGSPORT, TN 37660(423) 224-1000(423) 224-1023 Get Directions Write a Review

NPPES record last updated: December 12, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Holston Children & Youth Services NPPES

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

HOLSTON CHILDREN & YOUTH SERVICES (NPI 1578627006) is a healthcare organization registered as an adolescent and children mental health in Kingsport, Tennessee and active in the NPI registry since December 2006. The organization lists Teresa M Kidd, President And Ceo, as its authorized official.

NPPES Registry Identity

NPI1578627006
Entity TypeOrganization
Primary Taxonomy261QM0855X
Legal Business NameFRONTIER HEALTH
Location Address2001 STONEBROOK PLKingsport, TN 37660-4000
Mailing AddressPo Box 9054Gray, TN 37615-9054 · (423) 467-3600 · Fax (423) 467-3644
Phone(423) 224-1000
Fax(423) 224-1023
Organization SubpartNo
Authorized OfficialTeresa M KiddPresident And Ceo · (423) 467-3600
Enumeration DateDecember 20, 2006
Last NPPES UpdateDecember 12, 2018
✔ NPI 1578627006 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyClinic/Center · Adolescent and Children Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0855X
License✔ Licensed in TN · L 214-076-1417
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
Also ListedCase ManagementTaxonomy 251B00000X · License L 214-076-1417 (TN)
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X · License L 214-076-1417 (TN)
Also ListedClinic/Center · Rehabilitation, Substance Use DisorderTaxonomy 261QR0405X · License 316 (TN)
2001 STONEBROOK PL, Kingsport, TN 37660
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Other Names 1

Doing Business AsHolston Children & Youth Services

Other Identifiers 2

Medicaid49-4923-4VA
MedicaidSAME AS MEDICARE #STN

Other Providers at the Same Location NPPES 20

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

LEIGH CAROL LANDRESS BA
Case Manager/Care Coordinator
2001 STONEBROOK PL
KINGSPORT, TN 37660
Sullivan County (423) 224-1000
JOSHUA PAUL LEDFORD BS
Counselor
2001 STONEBROOK PL
KINGSPORT, TN 37660
Sullivan County (423) 224-1000
REBECCA LEIGH WALDENSTROM MED
Counselor
2001 STONEBROOK PL
KINGSPORT, TN 37660
Sullivan County (423) 224-1000
MRS. ELIZABETH ANN JONES MA
Psychologist
2001 STONEBROOK PL, ASSESSMENT AND FORENSIC SERVICES
KINGSPORT, TN 37660
Sullivan County (423) 224-1318
ASHLEY S EVANS LPC
Counselor (Professional)
2001 STONEBROOK PL
KINGSPORT, TN 37660
Sullivan County (423) 224-1000
CYNTHIA ANN DUNCAN BS
Case Manager/Care Coordinator
2001 STONEBROOK PL
KINGSPORT, TN 37660
Sullivan County (423) 224-1000
ROBERT KELTNER WEATHERLY III BSW
Counselor
2001 STONEBROOK PL
KINGSPORT, TN 37660
Sullivan County (423) 224-1000
ALESSANDRA M ROMANO
Counselor
2001 STONEBROOK PL
KINGSPORT, TN 37660
Sullivan County (423) 224-1000

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 Frontier Health's NPI number?

The NPI number for Frontier Health is 1578627006. It was assigned to this organization in the NPPES registry on December 20, 2006. The provider is doing business as Holston Children & Youth Services.

Where is Frontier Health located?

Frontier Health is located at 2001 Stonebrook Pl, Kingsport, TN 37660. The listed phone number is (423) 224-1000.

What is Frontier Health's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adolescent and Children Mental Health, with taxonomy code 261QM0855X.

When was this NPI record last updated?

The NPPES record for Frontier Health was last updated on December 12, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.