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NPI Code Detail

MEDICARE: MRS. LINDSAY RENFRO MINTON LMFT

MEDICARE: MRS. LINDSAY RENFRO MINTON LMFT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106H00000XMarriage & Family Therapist1185TN
2106H00000XMarriage & Family Therapist

General Provider Information

NPI Number : 1518476373
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. LINDSAY RENFRO MINTON LMFT
Provider Business Mailing Address
First Line : 407 N FOREST PARK BLVD
Second Line :
City : KNOXVILLE
State : TN
Zip : 37919-5136
Country : US
Telephone Number : 865-219-3352
Fax Number :
Provider Business Practice Location Address
First Line : 407 N FOREST PARK BLVD
Second Line :
City : KNOXVILLE
State : TN
Zip : 37919-5136
Country : US
Telephone Number : 865-219-3352
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/25/2017
Last Update Date : 06/07/2021

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