IndividualActive
Evan Ganick
NPI 1003562869 · Adult Mental Health Clinic/Center · Elmwood, TN
Provider details
- NPI number
- 1003562869
- Entity type
- Individual
- Primary specialty
- Adult Mental Health Clinic/CenterAmbulatory Health Care Facilities
- Sex
- Male
- Sole proprietor
- Yes
- License
- 115656 (NY)
Mailing address
89 Ouchonder Rd
Elmwood, TN 38560-4232
Registry dates
- Enumerated
- 2022-03-01
- Last updated
- 2022-03-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.