Organization
EBENEZER COUNSELING SERVICES
Active
Other names
Ebenezer Counseling Services PC
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES T BARRY PHD (PRESIDENT)
(865) 670-0988
Entity
Organization
Contact information
Practice address
325 EBENEZER RD, KNOXVILLE, TN 37923
(865) 670-0988
(865) 670-1991
Mailing address
325 EBENEZER RD, KNOXVILLE, TN 37923
(865) 670-0988
(865) 670-1991
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
103T00000X
Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3107910
BCBS OF TENNESSEE
TN
Enumeration date
01/08/2007
Last updated
02/27/2008
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