MR. SCOTT BRADY HOLLENBECK (NPI# 1558400473) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558400473 |
| Entity Type | Individual |
| Full Name | MR. SCOTT BRADY HOLLENBECK |
| Credential | MED LMFT LPCMHSP LAD |
| Practice Address |
401 Holston Drive Greeneville TN 37743 |
| Mailing Address |
Po Box 9054 Gray TN 37615-9054 |
| Practice Telephone | 4236391104 |
| Practice Fax Number | 4236368368 |
| Mailing Telephone | 4234673600 |
| Mailing Fax Number | 4234673696 |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
LDC273 | TN | Behavioral Health & Social Service Providers |
| X | 101YP2500X |
Counselor Specialization: Professional |
LPC747 | TN | Behavioral Health & Social Service Providers |
| X | 106H00000X | Marriage & Family Therapist | LMT562 | TN | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285891333 | Scott Thomas Hollenbeck | Plastic Surgery | Dumc 3974, Durham, NC 27710-0001 | 2008-05-16 |
| Street Address |
401 HOLSTON DRIVE |
| City | GREENEVILLE |
| State | TN |
| Zip Code | 37743 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003829144 | Esther Louise Crum | Counselor | 401 Holston Drive, Nolachuckey Holston Area Mental Health Center, Greeneville, TN 37743 | 2006-08-13 |
| 1720126485 | Nicole R Riddle | Counselor | 401 Holston Drive, Greeneville, TN 37744 | 2007-02-02 |
| 1013019397 | Cindy M Tvardy | Marriage & Family Therapist | 401 Holston Drive, Nola Chuckey Mental Health Center/frontier Health, Greeneville, TN 37743 | 2006-09-05 |
| 1386656403 | Teresa M Kidd | Psychologist | 401 Holston Drive, Greeneville, TN 37743 | 2006-08-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023412020 | State of Tennessee | Intermediate Care Facility, Mentally Retarded | 2324 Asheville Highway, Greeneville, TN 37743 | 2014-10-20 |
| 1437552536 | State of Tennessee | Intermediate Care Facility, Mentally Retarded | 645 Rambo Road, Greeneville, TN 37743 | 2014-10-02 |
| 1205264058 | Robert Maddox | Social Worker | 421 5th Ave North, Employee Health Clinic, 2nd Floor Central Services Bldg, Nashville, TN 37743 | 2013-10-14 |
| 1336574326 | Cathy J Davis | Occupational Therapy Assistant | 910 West Summer Street, Greeneville, TN 37743 | 2013-09-09 |
| 1659614238 | Person Centered Choices, LLC | In Home Supportive Care | 615 W. Main St., Ste. 204, Greeneville, TN 37743 | 2013-04-01 |
| 1730449943 | Jenilee Stepp | Behavioral Analyst | 1007 West Main Suite B, Greenville, TN 37743 | 2012-05-22 |
| 1083971303 | Jessica Allison Mcafee | Registered Nurse | 401 Takoma Ave., Suite 1, Second Floor, Greeneville, TN 37743 | 2012-04-12 |
| 1780958454 | State of Tennessee | Intermediate Care Facility, Mentally Retarded | 2497 Buckingham Rd., Greeneville, TN 37743 | 2012-02-28 |
| 1629342415 | State of Tennessee | Intermediate Care Facility, Mentally Retarded | 102 Dyer St., Greeneville, TN 37743 | 2012-02-27 |
| 1215200118 | State of Tennessee | Intermediate Care Facility, Mentally Retarded | 2495 Buckingham Road, Greeneville, TN 37743 | 2012-02-23 |
| Find all providers in zip 37743 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073129367 | Deborah Lynn Bowles-lee | Counselor | 1541 Sainville Rd, Manchester, TN 37355-6248 | 2020-09-22 |
| 1871109371 | Catherine Guzik | Counselor | 830 Nine Oaks, Collierville, TN 38017-0200 | 2020-09-20 |
| 1710599543 | Raymond Blackwell | Counselor | 832 Main St South, Brush Creek, TN 38547 | 2020-08-21 |
| 1396355541 | Elicia Marie Mathis | Counselor | 8036 Windbreak Rd Apt 3, Cordova, TN 38016-3733 | 2020-08-03 |
| 1346863487 | Marleen Sylvia Mcclure | Counselor | 512 Old Hickory Blvd Apt 2817, Nashville, TN 37209-6110 | 2020-05-23 |
| 1386267490 | A Prodigal's Path 2 Recovery, Inc. | Counselor | 107 Paint Rock Ferry Rd, Kingston, TN 37763-2921 | 2020-05-22 |
| 1659992022 | Christina Michelle Dye | Counselor | 209 Robin Rd, Bristol, TN 37620-2716 | 2020-04-27 |
| 1831724327 | Cynthia Farmer | Counselor | 3256 River Valley Ln, Memphis, TN 38119-8091 | 2020-03-05 |
| 1265066674 | Margaret Karen Moran | Counselor | 45a Rutledge St, Nashville, TN 37210-2042 | 2020-02-24 |
| 1902437353 | Requitta H Bone | Counselor | 1101 Fox Meadows Blvd Ste 105, Sevierville, TN 37862-6937 | 2020-02-03 |
| Find all providers with the same taxonomy | ||||
| City | GREENEVILLE |
| Zip Code | 37743 |
Please comment or provide details below to improve the information on MR. SCOTT BRADY HOLLENBECK.
| 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.