Provider Demographics
NPI:1235916743
Name:BALL, JAMES CHRISTOPHER
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:CHRISTOPHER
Last Name:BALL
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1275 POST OAK RD
Mailing Address - Street 2:
Mailing Address - City:BELVIDERE
Mailing Address - State:TN
Mailing Address - Zip Code:37306-2413
Mailing Address - Country:US
Mailing Address - Phone:931-636-3219
Mailing Address - Fax:
Practice Address - Street 1:1275 POST OAK RD
Practice Address - Street 2:
Practice Address - City:BELVIDERE
Practice Address - State:TN
Practice Address - Zip Code:37306-2413
Practice Address - Country:US
Practice Address - Phone:931-636-3219
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-11
Last Update Date:2023-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)