Organization · NPI-2

Forest Path Therapy Group LLC

Clinic/Center, Mental Health (Including Community Mental Health Center) · Johnson City, TN

NPI number1417893165
StatusActive
Last updated in NPPESApr 27, 2026

Details

NPI
1417893165
Entity type
Organization (NPI-2)
Legal business name
Forest Path Therapy Group LLC
Organization subpart
No
Enumeration date
Apr 27, 2026
Certification date
Apr 26, 2026
Last updated
Apr 27, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)––Yes

Practice location

3119 Bristol Hwy Ste 304
Johnson City, TN 37601-1556

Phone 423-719-3253 · Fax 423-767-7457

Mailing address

800 Hiram Clark Rd
Elizabethton, TN 37643-1910

Phone 423-741-8263 · Fax 423-767-7457

Authorized official

Tommy South
Owner/Clinical Director/Therapist
4237193253

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