Organization
THE NORTHSHORE GROUP, INC.
Active
Organization
THE NORTHSHORE GROUP, INC.
Active
Other names
Northshore Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL CALVIN HAWTHORNE PHD (PRESIDENT)
(865) 584-0171
Entity
Organization
Contact information
Practice address
1111 N NORTHSHORE DR STE SOUTH490, KNOXVILLE, TN 37919-4005
(865) 584-0171
(865) 584-0174
Mailing address
1111 N NORTHSHORE DR STE SOUTH490, KNOXVILLE, TN 37919-4005
(865) 584-0171
(865) 584-0174
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
103G00000X
Clinical Neuropsychologist
—
—
103T00000X
Psychologist
—
—
103TC0700X
Clinical Psychologist
Primary
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
2084P0800X
Psychiatry Physician
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
05/24/2022
Last updated
09/12/2024
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