Organization
HEALING WATERS COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TED R WILKES JR. (OWNER)
(423) 698-5090
Entity
Organization
Contact information
Practice address
4320 RINGGOLD RD, SUITE ONE, EAST RIDGE, TN 37412-2712
(423) 698-5090
(423) 698-5090
Mailing address
4320 RINGGOLD RD, SUITE ONE, EAST RIDGE, TN 37412-2712
(423) 698-5090
(423) 698-5090
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
048009
TN
Other
Enumeration date
12/05/2013
Last updated
12/05/2013
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