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Organization

THERAPY SHOPPE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LISA L BAKER LCSW (OWNER)
(865) 409-7000
Entity
Organization

Contact information

Practice address
262 MIALAQUO RD, LOUDON, TN 37774-6831
(865) 409-7000
(855) 631-0798
Mailing address
262 MIALAQUO RD, LOUDON, TN 37774-6831
(865) 409-7000
(855) 631-0798

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary

Other

Enumeration date
11/04/2025
Last updated
11/04/2025
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