Individual
DR. BELINDA LEVENTHAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1002 BRADFORD WAY, KINGSTON, TN 37663-3100
(865) 376-1585
(865) 376-1587
Mailing address
1002 BRADFORD WAY, KINGSTON, TN 37763-3100
(865) 376-1585
(865) 376-1587
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
LPC0000003478
TN
1041C0700X
Clinical Social Worker
Primary
5893
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12579015
CIGNA
TN
01
—
465687800
TRICARE
TN
05
—
Q004642
—
TN
Enumeration date
03/23/2011
Last updated
01/29/2025
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