Provider Demographics
NPI:1871851345
Name:COMMUNITY HEALTH OF EAST TENNESSEE INC
Entity Type:Organization
Organization Name:COMMUNITY HEALTH OF EAST TENNESSEE INC
Other - Org Name:CHET BEHAVIORAL WELLNESS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:TERESA
Authorized Official - Middle Name:W
Authorized Official - Last Name:DABNEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:423-562-1156
Mailing Address - Street 1:507 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:JACKSBORO
Mailing Address - State:TN
Mailing Address - Zip Code:37757-2967
Mailing Address - Country:US
Mailing Address - Phone:423-562-1156
Mailing Address - Fax:423-566-5106
Practice Address - Street 1:507 MAIN ST
Practice Address - Street 2:
Practice Address - City:JACKSBORO
Practice Address - State:TN
Practice Address - Zip Code:37757-2967
Practice Address - Country:US
Practice Address - Phone:423-562-1156
Practice Address - Fax:423-566-5106
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-02
Last Update Date:2012-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty