Provider Demographics
NPI:1275418196
Name:EAST TENNESSEE MIND & WELLNESS, PLLC
Entity type:Organization
Organization Name:EAST TENNESSEE MIND & WELLNESS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHIATRIST
Authorized Official - Prefix:
Authorized Official - First Name:TAZLEY
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:HOBBS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:423-212-3283
Mailing Address - Street 1:900 EASTBROOK DR
Mailing Address - Street 2:
Mailing Address - City:KINGSPORT
Mailing Address - State:TN
Mailing Address - Zip Code:37663-2462
Mailing Address - Country:US
Mailing Address - Phone:423-676-1353
Mailing Address - Fax:
Practice Address - Street 1:317 SHELBY ST STE 204
Practice Address - Street 2:
Practice Address - City:KINGSPORT
Practice Address - State:TN
Practice Address - Zip Code:37660-3680
Practice Address - Country:US
Practice Address - Phone:423-212-3283
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-08
Last Update Date:2025-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)