Organization
YOUTH VILLAGES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KORI BELL B.S. (CLINICAL SUPERVISOR)
(865) 560-2550
Entity
Organization
Contact information
Practice address
9111 CROSS PARK DR, SUITE E475, KNOXVILLE, TN 37923-4506
(865) 560-2550
Mailing address
4812 CANNON RIDGE DR APT 2, KNOXVILLE, TN 37918-3611
(865) 560-2500
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/05/2007
Last updated
08/22/2020
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