Provider Demographics
NPI:1710684840
Name:THOUSAND SUNS BEHAVIORAL HEALTH, LLC
Entity Type:Organization
Organization Name:THOUSAND SUNS BEHAVIORAL HEALTH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JOSHUA
Authorized Official - Middle Name:
Authorized Official - Last Name:MOWREY
Authorized Official - Suffix:
Authorized Official - Credentials:LPC MHSP
Authorized Official - Phone:931-218-6418
Mailing Address - Street 1:1575 CHERRY TREE DR
Mailing Address - Street 2:
Mailing Address - City:CLARKSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37042-5360
Mailing Address - Country:US
Mailing Address - Phone:931-218-6418
Mailing Address - Fax:
Practice Address - Street 1:1575 CHERRY TREE DR
Practice Address - Street 2:
Practice Address - City:CLARKSVILLE
Practice Address - State:TN
Practice Address - Zip Code:37042-5360
Practice Address - Country:US
Practice Address - Phone:931-218-6418
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-09
Last Update Date:2023-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty