# KNOXVILLE LEADERSHIP FOUNDATION

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

## Provider details

- **NPI number:** 1952176919
- **Authorized official:** CHRISTOPHER L MARTIN (PRESIDENT)
- **Authorized official phone:** (865) 524-2774

## Contact information

- **Practice address:** 318 N. GAY STREET, SUITE 210, KNOXVILLE, TN 37917
- **Practice address phone:** (865) 524-2774
- **Practice address fax:** (865) 525-4213
- **Mailing address:** 318 N. GAY STREET, SUITE 210, KNOXVILLE, TN 37917
- **Mailing address phone:** (865) 524-2774
- **Mailing address fax:** (865) 525-4213

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | — |
| 101YM0800X | Mental Health Counselor | — | — | — |
| 102L00000X | Psychoanalyst | — | NULL | — |
| 102L00000X | Psychoanalyst | — | — | — |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |

## Other

- **Enumeration date:** 11/20/2023
- **Last updated:** 07/30/2024