Organization
BLACK FOX LIBERATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FELICIA SC MORRIS LADAC II (OWNER)
(865) 232-2071
Entity
Organization
Contact information
Practice address
100 WINCHESTER RD, MAYNARDVILLE, TN 37807-2434
(865) 232-2071
Mailing address
100 WINCHESTER RD, MAYNARDVILLE, TN 37807-2434
(865) 232-2071
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q111670
—
TN
Enumeration date
03/25/2026
Last updated
04/02/2026
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