Organization
BEHAVIORAL MEDICINE INSTITUTE PC
Active
Organization
BEHAVIORAL MEDICINE INSTITUTE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
C KEITH HULSE PH.D. (CEO/PRESIDENT)
(865) 264-2400
Entity
Organization
Contact information
Practice address
2607 KINGSTON PIKE STE 250, KNOXVILLE, TN 37919-3331
(865) 264-2400
(865) 588-6406
Mailing address
2607 KINGSTON PIKE STE 250, KNOXVILLE, TN 37919-3331
(865) 264-2400
(865) 588-6406
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
P0873
TN
103TC0700X
Clinical Psychologist
Primary
P1235
TN
103TC0700X
Clinical Psychologist
P1818
TN
103TC0700X
Clinical Psychologist
P2497
TN
1041C0700X
Clinical Social Worker
LSW1229
TN
1041C0700X
Clinical Social Worker
LSW673
TN
Other
Enumeration date
12/12/2006
Last updated
10/16/2023
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