Organization
KNOXVILLE LEADERSHIP FOUNDATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER L MARTIN (PRESIDENT)
(865) 524-2774
Entity
Organization
Contact information
Practice address
318 N. GAY STREET, SUITE 210, KNOXVILLE, TN 37917
(865) 524-2774
(865) 525-4213
Mailing address
318 N. GAY STREET, SUITE 210, KNOXVILLE, TN 37917
(865) 524-2774
(865) 525-4213
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
102L00000X
Psychoanalyst
—
—
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
11/20/2023
Last updated
07/30/2024
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