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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