Organization
LIFT EAST TENNESSEE
Active
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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