Provider Demographics
NPI:1639914674
Name:THREE RIVERS BEHAVIORAL HEALTH LLC
Entity type:Organization
Organization Name:THREE RIVERS BEHAVIORAL HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/NURSEPRACTITIONER
Authorized Official - Prefix:MR
Authorized Official - First Name:DARWIN
Authorized Official - Middle Name:
Authorized Official - Last Name:SUNDAY
Authorized Official - Suffix:
Authorized Official - Credentials:ACNP
Authorized Official - Phone:615-989-0808
Mailing Address - Street 1:1531 HUNT CLUB BLVD STE 106
Mailing Address - Street 2:
Mailing Address - City:GALLATIN
Mailing Address - State:TN
Mailing Address - Zip Code:37066-6096
Mailing Address - Country:US
Mailing Address - Phone:615-989-0808
Mailing Address - Fax:615-989-0808
Practice Address - Street 1:1531 HUNT CLUB BLVD STE 106
Practice Address - Street 2:
Practice Address - City:GALLATIN
Practice Address - State:TN
Practice Address - Zip Code:37066-6096
Practice Address - Country:US
Practice Address - Phone:615-989-0808
Practice Address - Fax:615-989-0808
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-01
Last Update Date:2024-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)