| NPI | 1760537732 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CONNIE E STRANGE Office Manager 865-524-2551 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC1900X Psychologist Counseling (Licence: TN P0000001386) |
| Additional Taxonomies | 103TC1900X Psychologist Counseling (Licence: TN P0000001294) |
| 1041C0700X Social Worker Clinical (Licence: TN LSW0000000461) | |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2020-08-22 |