Healthcare Provider Details

I. General information

NPI: 1356808349
Provider Name (Legal Business Name): KATHRYN DEON HAROLD LPC-MHSP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/26/2019
Last Update Date: 08/12/2025
Certification Date: 08/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5302 BALL CAMP PIKE
KNOXVILLE TN
37921-3234
US

IV. Provider business mailing address

201 W SPRINGDALE AVE
KNOXVILLE TN
37917-5158
US

V. Phone/Fax

Practice location:
  • Phone: 865-539-2409
  • Fax: 865-541-4286
Mailing address:
  • Phone: 865-523-8695
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number7758
License Number StateTN
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number7758
License Number StateTN
# 3
Primary TaxonomyN
Taxonomy Code101YS0200X
TaxonomySchool Counselor
License Number000502491
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: