BELMONT BEHAVIORAL HEALTH, LLC (NPI# 1053883538) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053883538 |
| Entity Type | Organization |
| Organization Name | BELMONT BEHAVIORAL HEALTH, LLC |
| Practice Address |
103 Jefferson St Ste 100 Clarksville TN 37040-8681 |
| Mailing Address |
2250 Wilma Rudolph Blvd # F247 Clarksville TN 37040-8452 |
| Practice Telephone | 9312212881 |
| Practice Fax Number | 8668868183 |
| Enumeration Date | 2018-12-21 |
| Last Update Date | 2018-12-21 |
| Authorized Official Name | MRS. CANDISE SHANTAE BELMONT (OWNER) |
| Authorized Official Telephone | 9312212881 |
| Authorized Official Credential | APRN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
Nursing Service Providers |
| Street Address |
103 JEFFERSON ST STE 100 |
| City | CLARKSVILLE |
| State | TN |
| Zip Code | 37040-8681 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760878474 | Candise Belmont | Nurse Practitioner | 103 Jefferson St Ste 100, Clarksville, TN 37040 | 2015-04-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770124380 | Clarksville Treatment Center, LLC | Clinic/Center | 495 Dunlop Lane, Clarksville, TN 37040 | 2019-10-04 |
| 1295384956 | Dena Marie Borchick | Technician | 3779 Cindy Jo Dr. N, Clarksville, TN 37040 | 2019-09-05 |
| 1477014488 | Emily Allen | Dentist | 930 Hwy 76, Clarksville, TN 37040 | 2019-03-31 |
| 1730640566 | Latoya Ewert | Counselor | Centerstone Clarksville Harriet Cohn Center, 511 8th Street, Clarksville, TN 37040 | 2019-03-26 |
| 1356811988 | Jamie Coles | Behavior Technician | 851 Professional Park Drive 851 Profesiional Park Drive, Clarksville, TN 37040 | 2018-11-27 |
| 1518448554 | Bandel Counseling Service | Clinic/Center | 113 3rd St., Suite 25, Clarksville, TN 37040 | 2018-08-28 |
| 1477052520 | Bridget Stokes | Behavior Technician | 2277 Wilma Rudolph Blvd., Suite C #259, Clarksville, TN 37040 | 2018-02-05 |
| 1053824334 | Sandra Loren Coates | Nurse Practitioner | 980 Professional Park Dr Ste C, Clarksville, TN 37040 | 2017-11-09 |
| 1902328362 | Terri Brooke Roach | Registered Nurse | 651 Dunlop Lane, Clarksville, TN 37040 | 2017-07-07 |
| 1093244428 | Nikkia Deneil Bell | Behavior Technician | 139 E. Old Trenton Rd, Suite B, Clarksville, TN 37040 | 2017-06-08 |
| Find all providers in zip 37040 | ||||
| Taxonomy Code | 163WP0808X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497892186 | Kristy L Reed | Registered Nurse | 1820 Memorial Dr Ste 101, Clarksville, TN 37043 | 2007-01-31 |
| 1639650476 | Alexandra Popova | Registered Nurse | 511 8th St, Clarksville, TN 37040-3093 | 2018-08-28 |
| 1841320397 | Leigh Ann Urbanavage | Registered Nurse | 511 8th St, Clarksville, TN 37040-3093 | 2007-03-06 |
| 1366572695 | Tommy Clifton Eddy | Registered Nurse | 1151 S Rogers St, Suite 7 & 8, Clarksville, AR 72830-9158 | 2007-03-06 |
| 1578691721 | Sherrie Giles | Registered Nurse | 511 8th St, Clarksville, TN 37040-3093 | 2007-03-01 |
| 1992833040 | Bobbie Sue Waynick | Registered Nurse | 511 8th St, Clarksville, TN 37040-3093 | 2007-03-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669958708 | Paulinus Nwaija | Registered Nurse | 730 Huntington Pkwy, Nashville, TN 37211-5919 | 2018-07-12 |
| 1922592229 | Samantha Thompson | Registered Nurse | 3308 Blaze Dr, Murfreesboro, TN 37128-3878 | 2018-06-20 |
| 1588165112 | Cara Victoria Jill Mcmahan | Registered Nurse | 310 W 3rd N Street, Morristown, TN 37814 | 2018-02-28 |
| 1891295481 | Gregory T Tipton | Registered Nurse | 302 Sunset Dr Ste 105, Johnson City, TN 37604-2408 | 2018-02-20 |
| 1699294595 | Charlene L. Donovan | Registered Nurse | 1283 Murfreesboro Pike Ste 500, Nashville, TN 37217-2421 | 2017-09-12 |
| 1588181861 | Kayla Ashley West | Registered Nurse | 223 Madison St Ste 103, Madison, TN 37115-3660 | 2017-08-27 |
| 1629509369 | Sommer Wright | Registered Nurse | 1128 Radmoor Ln, Chattanooga, TN 37421-4048 | 2017-03-24 |
| 1053795518 | Charles Olsen | Registered Nurse | 307 Devonia St, Harriman, TN 37748-2008 | 2015-07-15 |
| 1518238708 | Barbara J Howard | Registered Nurse | 736 Jessica Taylor Dr, Madison, TN 37115-5580 | 2012-01-19 |
| 1235449398 | Onochie Nnodu | Registered Nurse | 2350 Mccampbell Wells Way, Knoxville, TN 37924-3128 | 2010-10-07 |
| Find all providers with the same taxonomy | ||||
| City | CLARKSVILLE |
| Zip Code | 37040 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.