Provider Demographics
NPI:1104121813
Name:TRI-COUNTY MENTAL HEALTH CTR
Entity type:Organization
Organization Name:TRI-COUNTY MENTAL HEALTH CTR
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADM/CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARGARET
Authorized Official - Middle Name:STELLA
Authorized Official - Last Name:FISHER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-712-7756
Mailing Address - Street 1:1315 CENTAL COURT
Mailing Address - Street 2:
Mailing Address - City:HERMITAGE
Mailing Address - State:TN
Mailing Address - Zip Code:37076
Mailing Address - Country:US
Mailing Address - Phone:615-712-7756
Mailing Address - Fax:615-712-7768
Practice Address - Street 1:1315 CENTRAL CT
Practice Address - Street 2:
Practice Address - City:HERMITAGE
Practice Address - State:TN
Practice Address - Zip Code:37076-3153
Practice Address - Country:US
Practice Address - Phone:615-712-7756
Practice Address - Fax:615-712-7768
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-12
Last Update Date:2011-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN1000000009245251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health