Provider Demographics
NPI:1568484095
Name:MVP BEHAVIORAL CONSULTANTS
Entity Type:Organization
Organization Name:MVP BEHAVIORAL CONSULTANTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER PARTNER/PSYD
Authorized Official - Prefix:
Authorized Official - First Name:ADAM
Authorized Official - Middle Name:V
Authorized Official - Last Name:MCLAIN
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:865-809-7640
Mailing Address - Street 1:PO BOX 6166
Mailing Address - Street 2:
Mailing Address - City:MARYVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37802-6166
Mailing Address - Country:US
Mailing Address - Phone:865-809-7640
Mailing Address - Fax:931-762-6532
Practice Address - Street 1:8350 KINGSTON PIKE
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37919
Practice Address - Country:US
Practice Address - Phone:865-809-7640
Practice Address - Fax:931-762-6532
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNP0000002574103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty