| Northglen Healing, Pllc | |
|
10820 Kingston Pike Ste 4 Knoxville TN 37934-3065 | |
| (865) 201-8112 | |
| (865) 297-4221 |
| Full Name | Northglen Healing, Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 10820 Kingston Pike Ste 4, Knoxville, Tennessee |
| Authorized Official Name and Position | Amber Christine Nichols (OWNER/PRESIDENT) |
| Authorized Official Contact | 8652018112 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northglen Healing, Pllc 7527 Jenkins Rd Knoxville TN 37931-4416 Ph: (865) 235-5741 | Northglen Healing, Pllc 10820 Kingston Pike Ste 4 Knoxville TN 37934-3065 Ph: (865) 201-8112 |
| NPI Number | 1336604461 |
|---|---|
| Provider Enumeration Date | 02/03/2019 |
| Last Update Date | 07/26/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336604461 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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