| Knoxville Mindful Wellness Center, Llc | |
|
10700 Virginia Pine Way Ste 202 Knoxville TN 37932-1801 | |
| (865) 407-0071 | |
| (865) 217-1109 |
| Full Name | Knoxville Mindful Wellness Center, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 10700 Virginia Pine Way Ste 202, Knoxville, Tennessee |
| Authorized Official Name and Position | Bethany Ellen Genrich (OWNER) |
| Authorized Official Contact | 5012136648 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Knoxville Mindful Wellness Center, Llc 9613 Cotesworth Ln Knoxville TN 37922-3431 Ph: (501) 213-6648 | Knoxville Mindful Wellness Center, Llc 10700 Virginia Pine Way Ste 202 Knoxville TN 37932-1801 Ph: (865) 407-0071 |
| NPI Number | 1902375942 |
|---|---|
| Provider Enumeration Date | 11/20/2018 |
| Last Update Date | 10/02/2021 |
| Certification Date | 10/02/2021 |
| Medicare PECOS PAC ID | 6204258106 |
|---|---|
| Medicare Enrollment ID | O20200623001563 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902375942 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| Provider Name | Bethany E Genrich |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184876435 PECOS PAC ID: 3375709728 Enrollment ID: I20151103002022 |
| Provider Name | Caroline Whitaker |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1487338919 PECOS PAC ID: 7810339900 Enrollment ID: I20240521001471 |
| Provider Name | Eden Butler |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1780148700 PECOS PAC ID: 4981046091 Enrollment ID: I20240521002486 |
| Provider Name | Joanna Peck |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1578939088 PECOS PAC ID: 4284076555 Enrollment ID: I20240531002642 |
Lane M. Cook, M.d. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4428 Sutherland Ave, Knoxville, TN 37919 Phone: 865-588-6425 Fax: 865-584-8066 | |
David Friend, Lcsw Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 9631 W Emory Rd., Knoxville, TN 37931 Phone: 865-219-9559 | |
Omega Pain Management, Pc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 6348 Lonas Spring Dr, Knoxville, TN 37909 Phone: 865-337-5137 Fax: 888-839-6922 | |
The Next Door Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2636 Maryville Pike, Knoxville, TN 37920 Phone: 865-934-2890 Fax: 865-934-2894 | |
Mckinnon Mental Health Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6626 Central Avenue Pike, Knoxville, TN 37912 Phone: 865-235-9742 | |
Rha Health Services Tn Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 9041 Executive Park Dr Ste 705, Knoxville, TN 37923 Phone: 895-769-7491 | |
Weatherstone Collaborative Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 323 Ebenezer Rd, Knoxville, TN 37923 Phone: 865-272-9709 |