Organization
MARRIAGE & FAMILY COUNSELING ASSOCIATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ELIZABETH J ELLIOTT M.S.W. (PRESIDENT)
(865) 637-5848
Entity
Organization
Contact information
Practice address
1640 W CLINCH AVE, KNOXVILLE, TN 37916-2524
(865) 637-5848
(865) 525-4026
Mailing address
1640 W CLINCH AVE, KNOXVILLE, TN 37916-2524
(865) 637-5848
(865) 525-4026
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LSW190
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0049258
BC-BS PROVIDER NUMBER
TN
05
—
3696258
—
TN
01
—
4542425
AETNA PROVIDER NUMBER
TN
Enumeration date
04/10/2007
Last updated
08/22/2020
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