Organization
WELLNESS AMBULATORY CARE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JEMECE GASAWAY MSW, LMSQ (DIRECTOR OF LICENSING)
(214) 365-6126
Entity
Organization
Contact information
Practice address
6624 CENTRAL AVENUE PIKE, SUITE 101, KNOXVILLE, TN 37912-1400
(865) 851-9023
(865) 951-1966
Mailing address
5001 SPRING VALLEY RD STE 600, DALLAS, TX 75244-3946
(214) 364-6100
(214) 365-6150
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
I000000019002
TN
Other
Enumeration date
10/17/2016
Last updated
12/02/2020
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