Provider Demographics
NPI:1699110692
Name:LINKED COMMUNITY SERVICES
Entity type:Organization
Organization Name:LINKED COMMUNITY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:STEVE
Authorized Official - Middle Name:
Authorized Official - Last Name:SHERFEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:423-631-0622
Mailing Address - Street 1:PO BOX 4272
Mailing Address - Street 2:
Mailing Address - City:JOHNSON CITY
Mailing Address - State:TN
Mailing Address - Zip Code:37602-4272
Mailing Address - Country:US
Mailing Address - Phone:423-631-0622
Mailing Address - Fax:423-631-0623
Practice Address - Street 1:2514 WESLEY ST
Practice Address - Street 2:SUITE 102
Practice Address - City:JOHNSON CITY
Practice Address - State:TN
Practice Address - Zip Code:37601-1764
Practice Address - Country:US
Practice Address - Phone:423-631-0622
Practice Address - Fax:423-631-0623
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-03
Last Update Date:2013-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN717334251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health