Individual
ANNA FLAVIA FIFE-OFFSHACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5310 BALL CAMP PIKE, KNOXVILLE, TN 37921-3234
(865) 541-6958
Mailing address
200 TECH CENTER DR, KNOXVILLE, TN 37912-2747
(865) 637-9711
(865) 637-4362
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
106H00000X
Marriage & Family Therapist
Primary
1818
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q062216
—
TN
Enumeration date
03/01/2007
Last updated
03/11/2024
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