Organization
LIFELINE CENTER, PLLC
Active
Other names
LifeLine Counseling Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NANCY JOY CARROLL ED.D. (EXECUTIVE DIRECTOR/PSYCHOLOGIST)
(865) 981-7400
Entity
Organization
Contact information
Practice address
294 GAMBLE AVE, MARYVILLE, TN 37801-4943
(865) 981-7400
Mailing address
294 GAMBLE AVE, MARYVILLE, TN 37801-4943
(865) 981-7400
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
686
TN
103TH0100X
Health Service Psychologist
Primary
1002
TN
1041C0700X
Clinical Social Worker
3876
TN
1041C0700X
Clinical Social Worker
4684
TN
Other
Enumeration date
02/04/2008
Last updated
02/26/2010
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