Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Mountain States Health Alliance Out-Patient Behavioral Health

Organization Health Service Psychologist · NPI 1083936033

Mountain States Health Alliance Out-Patient Behavioral Health provides Health Service Psychologist services 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 Not confirmed with CMS for 16 years — call before visiting
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