Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mountain States Health Alliance Out-Patient Behavioral Health

Organization Health Service Psychologist · NPI 1083936033

Mountain States Health Alliance Out-Patient Behavioral Health is a Health Service Psychologist in Kingsport, Tennessee. Registered with an NPI since 2010.

In the registry since
2010

Practice location Address checks out

2012 Brookside Dr
Kingsport, TN 37660-4645
Phone: (423) 857-5566
Fax: (423) 857-5564
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Health Service Psychologist (primary) Taxonomy 103TH0100X

Record details

NPI number1083936033
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Graciela Pereira — Avp Behavioral Health And Rehab Ser · (423) 952-1701
NPI enumeratedFebruary 18, 2010
Last updated in NPPESFebruary 18, 2010
Mailing address1021 W Oakland Ave, Suite 207, Johnson City, TN 37604-2191

Other providers in Kingsport