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Brainranger, LLC

Clinic/Center, Adult Mental Health in Ooltewah, TN. Organization (NPI-2).

NPI number1245003425
StatusActive
Last updated in NPPESOct 31, 2023

Details

NPI
1245003425
Entity type
Organization (NPI-2)
Legal business name
Brainranger, LLC
Organization subpart
No
Enumeration date
Oct 31, 2023
Certification date
Oct 31, 2023
Last updated
Oct 31, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM0850X Clinic/Center, Adult Mental Health––Yes

Practice location

6857 Mountain View Rd Ste 100
Ooltewah, TN 37363-6561

Phone 423-315-2222 · Fax 888-231-1141

Mailing address

9004 Misty Moor Ln
Ooltewah, TN 37363-6808

Phone 423-315-2222 · Fax 888-231-1141

Authorized official

Christopher Lee Atkins
Ceo
4233152222

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