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Organization

LIFT EAST TENNESSEE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JENNIFER HOLDER ROSE (FOUNDER & EXECUTIVE DIRECTOR)
(865) 888-1237
Entity
Organization

Contact information

Practice address
2917 W BEAVER CREEK DR, POWELL, TN 37849-4830
(865) 888-1237
Mailing address
1909 BOYD ST, KNOXVILLE, TN 37921-3502
(865) 888-1237

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
103K00000X
Behavior Analyst
106H00000X
Marriage & Family Therapist
174400000X
Specialist
221700000X
Art Therapist
251B00000X
Case Management Agency
251C00000X
Developmentally Disabled Services Day Training Agency
251E00000X
Home Health Agency
251K00000X
Public Health or Welfare Agency
251S00000X
Community/Behavioral Health Agency
251V00000X
Voluntary or Charitable Agency
Primary
252Y00000X
Early Intervention Provider Agency
253Z00000X
In Home Supportive Care Agency
261Q00000X
Clinic/Center
385H00000X
Respite Care

Other

Enumeration date
07/28/2025
Last updated
07/28/2025
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