Organization
NORTHGLEN HEALING, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AMBER CHRISTINE NICHOLS LCSW (OWNER/PRESIDENT)
(865) 201-8112
Entity
Organization
Contact information
Practice address
10820 KINGSTON PIKE STE 4, KNOXVILLE, TN 37934-3065
(865) 201-8112
(865) 297-4221
Mailing address
7527 JENKINS RD, KNOXVILLE, TN 37931-4416
(865) 235-5741
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
02/03/2019
Last updated
07/26/2019
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