# NORTH STAR COUNSELING AND WELLNESS CENTER

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

## Provider details

- **NPI number:** 1255753927
- **Authorized official:** MRS. ROSE M GAMBLE LPC-MHSP (PRESIDENT/CEO)
- **Authorized official phone:** (615) 668-8244

## Contact information

- **Practice address:** 811 MICAH ST, MARYVILLE, TN 37804-3084
- **Practice address phone:** (615) 668-8244
- **Mailing address:** 811 MICAH ST, MARYVILLE, TN 37804-3084
- **Mailing address phone:** (615) 668-8244

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | 3000 | TN | Yes |

## Other

- **Enumeration date:** 01/14/2014
- **Last updated:** 01/14/2014
