Provider Demographics
NPI:1245776848
Name:SUMMIT BHC SEVIERVILLE, LLC
Entity Type:Organization
Organization Name:SUMMIT BHC SEVIERVILLE, LLC
Other - Org Name:ENGLISH MOUNTAIN RECOVERY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF LEGAL OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:
Authorized Official - Last Name:GILBERT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-716-4924
Mailing Address - Street 1:1096 ALPINE DR
Mailing Address - Street 2:
Mailing Address - City:SEVIERVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37876-7825
Mailing Address - Country:US
Mailing Address - Phone:615-721-5230
Mailing Address - Fax:888-418-7712
Practice Address - Street 1:1096 ALPINE DR
Practice Address - Street 2:
Practice Address - City:SEVIERVILLE
Practice Address - State:TN
Practice Address - Zip Code:37876-7825
Practice Address - Country:US
Practice Address - Phone:615-721-5230
Practice Address - Fax:888-418-7712
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SUMMIT BHC, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-01-06
Last Update Date:2023-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility