Organization
SOUTHEASTERN PSYCHIATRY SPECIALISTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH AULT MD (PSYCHIATRIST)
(865) 432-1521
Entity
Organization
Contact information
Practice address
2202 AWARD WINNING WAY STE 103, KNOXVILLE, TN 37932-1991
(865) 432-1521
(865) 409-5763
Mailing address
2202 AWARD WINNING WAY STE 103, KNOXVILLE, TN 37932-1991
(865) 432-1521
(865) 409-5763
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103T00000X
Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
363AM0700X
Medical Physician Assistant
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
12/27/2023
Last updated
12/06/2024
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