Organization
COUNSELING AND FORENSIC SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY HELEN LYLE-JOINER LPC-MHSP (OWENER/THERAPIST)
(865) 816-3166
Entity
Organization
Contact information
Practice address
481 LEEPER PKWY STE 6&7, LENOIR CITY, TN 37772-6174
(865) 816-3166
(865) 225-9687
Mailing address
PO BOX 25, LENOIR CITY, TN 37771-0025
(865) 816-3166
(865) 225-9687
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
QOO3573
—
TN
Enumeration date
10/29/2019
Last updated
08/29/2020
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