Healthcare Provider Details

I. General information

NPI: 1386432185
Provider Name (Legal Business Name): JULIA E WILSON LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/30/2025
Last Update Date: 04/30/2025
Certification Date: 04/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2607 KINGSTON PIKE STE 250
KNOXVILLE TN
37919-3331
US

IV. Provider business mailing address

2607 KINGSTON PIKE STE 250
KNOXVILLE TN
37919-3331
US

V. Phone/Fax

Practice location:
  • Phone: 865-264-2400
  • Fax: 865-588-6406
Mailing address:
  • Phone: 865-264-2400
  • Fax: 865-588-6406

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number1859
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: