Provider Demographics
NPI:1912047671
Name:TOM A. BILLER ED.D. P.C. DBA HEALTH MANAGEMENT SERVICES
Entity Type:Organization
Organization Name:TOM A. BILLER ED.D. P.C. DBA HEALTH MANAGEMENT SERVICES
Other - Org Name:HEALTH MANAGEMENT SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:OWEN(TOM)
Authorized Official - Middle Name:A
Authorized Official - Last Name:BILLER
Authorized Official - Suffix:
Authorized Official - Credentials:EDD
Authorized Official - Phone:423-479-5672
Mailing Address - Street 1:PO BOX 2965
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:TN
Mailing Address - Zip Code:37320-2965
Mailing Address - Country:US
Mailing Address - Phone:423-479-5672
Mailing Address - Fax:423-479-5679
Practice Address - Street 1:2292 CHAMBLISS AVE NW
Practice Address - Street 2:SUITE C
Practice Address - City:CLEVELAND
Practice Address - State:TN
Practice Address - Zip Code:37311-3862
Practice Address - Country:US
Practice Address - Phone:423-479-5672
Practice Address - Fax:423-479-5679
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-08
Last Update Date:2010-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNP0000000463103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty