Provider Demographics
NPI:1609398312
Name:ADVANCED BEHAVIORAL-EMOTIONAL CARE SERVICES, LLC.
Entity Type:Organization
Organization Name:ADVANCED BEHAVIORAL-EMOTIONAL CARE SERVICES, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:CUMBERLANDER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-771-4633
Mailing Address - Street 1:200 W ML KING BLVD STE 1000
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37402-2571
Mailing Address - Country:US
Mailing Address - Phone:704-771-4633
Mailing Address - Fax:
Practice Address - Street 1:200 W ML KING BLVD STE 1000
Practice Address - Street 2:
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37402-2571
Practice Address - Country:US
Practice Address - Phone:704-771-4633
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-13
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health