Organization
KOSELIG HEALTH SERVICES PLLC
Active
Other names
Scruffy City Psychiatry & Psychotherapy
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KELSEY WALLACE APRN (DIRECTOR/OWNER)
(813) 629-0250
Entity
Organization
Contact information
Practice address
103 SUBURBAN RD STE D102, KNOXVILLE, TN 37923-5581
(865) 424-7334
Mailing address
PO BOX 10963, KNOXVILLE, TN 37939-0963
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
02/17/2023
Last updated
07/17/2025
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