Organization
KNOXVILLE NEUROFEEDBACK GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE S CARROLL PHD (CEO)
(865) 661-1929
Entity
Organization
Contact information
Practice address
7417 KINGSTON PIKE STE 103, KNOXVILLE, TN 37919-5616
(865) 661-1829
(865) 579-2522
Mailing address
7417 KINGSTON PIKE STE 103, KNOXVILLE, TN 37919-5616
(865) 661-1829
(865) 579-2522
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
P0000002366
TN
Other
Enumeration date
05/02/2017
Last updated
05/02/2017
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