# MCKINNON MENTAL HEALTH SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013459015
- **Authorized official:** MR. KEVIN LAROY MCKINNON LPC-MHSP, SAP, EAS-C (PRESIDENT)
- **Authorized official phone:** (865) 235-9742

## Contact information

- **Practice address:** 6626 CENTRAL AVENUE PIKE, KNOXVILLE, TN 37912-1400
- **Practice address phone:** (865) 235-9742
- **Mailing address:** 125 E EMERALD AVE, KNOXVILLE, TN 37917-5530
- **Mailing address phone:** (865) 235-9742

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | 3176 | TN | Yes |

## Other

- **Enumeration date:** 11/08/2016
- **Last updated:** 11/08/2016