Healthcare Provider Details

I. General information

NPI: 1740145127
Provider Name (Legal Business Name): MARLEE YOUNG
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/18/2025
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6000 WALDEN DR STE 102
KNOXVILLE TN
37919-6364
US

IV. Provider business mailing address

401 S GALLAHER VIEW RD APT 258
KNOXVILLE TN
37919-5339
US

V. Phone/Fax

Practice location:
  • Phone: 865-236-1501
  • Fax:
Mailing address:
  • Phone: 423-492-3310
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: