Organization
KNOX ACADEMY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE GILLILAND (OWNER)
(601) 577-2363
Entity
Organization
Contact information
Practice address
404 W PAULDING RD, ELLISVILLE, MS 39437-5083
(601) 800-4000
Mailing address
42 SAINT AMBER DR, ELLISVILLE, MS 39437-8768
(601) 800-4000
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
261QH0700X
Hearing and Speech Clinic/Center
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Enumeration date
01/14/2025
Last updated
01/14/2025
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