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Organization
LIVING PROOF COUNSELING SERVICES
Active
Organization
LIVING PROOF COUNSELING SERVICES
Active
Other names
WiserWay Counseling
Organization subpart
No
Provider details
NPI number
Authorized official
EDGAR TYRONE FRITZ LCSW (FACILITY DIRECTOR)
(865) 765-3797
Entity
Organization
Contact information
Practice address
391 BROAD ST NW STE 201, CLEVELAND, TN 37311-5039
(423) 444-0998
(865) 999-7858
Mailing address
2928 E MAGNOLIA AVE, KNOXVILLE, TN 37914-4515
(865) 765-3797
(865) 999-7858
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
171M00000X
Case Manager/Care Coordinator
—
—
175T00000X
Peer Specialist
—
—
221700000X
Art Therapist
—
—
225600000X
Dance Therapist
—
—
225700000X
Massage Therapist
—
—
225800000X
Recreation Therapist
—
—
225A00000X
Music Therapist
—
—
226000000X
Recreational Therapist Assistant
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
347C00000X
Private Vehicle
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1417303157
—
TN
05
—
Q022498
—
TN
Enumeration date
04/26/2019
Last updated
02/06/2023
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