Clarksville Behavioral Health, LLC
NPI 1174965420ActiveOrganization· Psychologist· Clarksville, TN
Psychologist in Clarksville, Tennessee, registered in NPPES in July 2013. The authorized official on file is Demetrice Rena Mitchell, Office Manager.
Overview
| NPI | 1174965420 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 26, 2013 |
| Last updated in NPPES | Sep 16, 2013 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X | 1942 | TN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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