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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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