# KNOX FAMILY THERAPY, PLLC

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

## Provider details

- **NPI number:** 1417609561
- **Authorized official:** LESLIE WILSON-CHARLES LMFT (OWNER)
- **Authorized official phone:** (865) 973-9686

## Contact information

- **Practice address:** 3624 VANDEVENTER AVE, KNOXVILLE, TN 37919-4578
- **Practice address phone:** (865) 973-9686
- **Practice address fax:** (855) 617-4310
- **Mailing address:** 3624 VANDEVENTER AVE, KNOXVILLE, TN 37919-4578
- **Mailing address phone:** (865) 973-9686
- **Mailing address fax:** (855) 617-4310

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |
| 104100000X | Social Worker | — | NULL | — |
| 104100000X | Social Worker | — | — | — |
| 106H00000X | Marriage & Family Therapist | — | NULL | — |
| 106H00000X | Marriage & Family Therapist | — | — | — |

## Other

- **Enumeration date:** 01/20/2022
- **Last updated:** 03/20/2023