Etsu Behavioral Health and Wellness Clinic
NPI 1073872776 · Community/Behavioral Health Agency · Johnson City, TN
Etsu Behavioral Health and Wellness Clinic is a Community/Behavioral Health Agency organization in Johnson City, TN (NPI 1073872776).
Provider details
- NPI number
- 1073872776
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Parent organization
- East Tennessee State University
- Organization subpart
- Yes
- Authorized official
- Kerry Holland, Clinic Director(423) 439-7777
- License
- 9378 (TN)
Specialties & taxonomies
Agencies
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2012-05-15
- Last updated
- 2012-05-15
Frequently asked questions
- What is Etsu Behavioral Health and Wellness Clinic's NPI number?
- Etsu Behavioral Health and Wellness Clinic's National Provider Identifier (NPI) is 1073872776, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Etsu Behavioral Health and Wellness Clinic?
- Etsu Behavioral Health and Wellness Clinic is classified in the NPPES registry as Community/Behavioral Health Agency (Agencies).
- Where is Etsu Behavioral Health and Wellness Clinic located?
- Etsu Behavioral Health and Wellness Clinic's practice location on file with NPPES is 807 University Pkwy, Johnson City, TN 37614-6500.
- What is Etsu Behavioral Health and Wellness Clinic's phone number?
- The practice phone number listed in the NPPES registry for Etsu Behavioral Health and Wellness Clinic is (423) 439-7777.
- Who is the authorized official for Etsu Behavioral Health and Wellness Clinic?
- The authorized official listed on Etsu Behavioral Health and Wellness Clinic's NPPES record is Kerry Holland, Clinic Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Etsu Behavioral Health and Wellness Clinic's NPI active?
- Yes — Etsu Behavioral Health and Wellness Clinic's NPI (1073872776) is active in the NPPES registry as of the last update on 2012-05-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.