Organization
CREEKSIDE COUNSELING & WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BONNIE BARCLAY LCSW (OWNER, PRESIDENT)
(865) 325-9604
Entity
Organization
Contact information
Practice address
305 EBENEZER RD, KNOXVILLE, TN 37923-5310
(865) 325-9604
(865) 321-8390
Mailing address
1225 HALIFAX RD, KNOXVILLE, TN 37922-1434
(865) 919-2830
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
07/23/2021
Last updated
07/23/2021
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