Healthcare Provider Details

I. General information

NPI: 1063376242
Provider Name (Legal Business Name): PALMSUP BEHAVIORAL HEALTH, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

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

III. Provider practice location address

4869 CHAMBLISS AVE
KNOXVILLE TN
37919-5122
US

IV. Provider business mailing address

4869 CHAMBLISS AVE
KNOXVILLE TN
37919-5122
US

V. Phone/Fax

Practice location:
  • Phone: 865-217-0810
  • Fax: 865-270-4520
Mailing address:
  • Phone: 865-217-0810
  • Fax: 865-270-4520

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: AMY PALMER
Title or Position: PSYCHIATRIC MENTAL HEALTH NP
Credential: PMHNP
Phone: 865-217-0810