Healthcare Provider Details
I. General information
NPI: 1770917569
Provider Name (Legal Business Name): LEE SINNOTT LPC-MHSP
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 08/28/2013
Last Update Date: 08/01/2023
Certification Date: 08/01/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
412 CITICO ST
KNOXVILLE TN
37921-5811
US
IV. Provider business mailing address
8805 EAGLE POINTE DR
KNOXVILLE TN
37931-4990
US
V. Phone/Fax
- Phone: 865-522-0661
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101YA0400X |
| Taxonomy | Addiction (Substance Use Disorder) Counselor |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YP2500X |
| Taxonomy | Professional Counselor |
| License Number | 6442 |
| License Number State | TN |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: