Healthcare Provider Details

I. General information

NPI: 1801758115
Provider Name (Legal Business Name): ALIVIANA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/25/2025
Last Update Date: 11/25/2025
Certification Date: 11/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9041 EXECUTIVE PARK DR STE 104
KNOXVILLE TN
37923-4603
US

IV. Provider business mailing address

8513 CAMBRIDGE WOODS LN
KNOXVILLE TN
37923-6738
US

V. Phone/Fax

Practice location:
  • Phone: 865-236-0365
  • Fax: 865-217-5704
Mailing address:
  • Phone: 865-236-0365
  • Fax: 865-217-5704

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364SP0808X
TaxonomyPsychiatric/Mental Health Clinical Nurse Specialist
License Number
License Number State

VIII. Authorized Official

Name: MATTHEW MOTE
Title or Position: OWNER
Credential: PMH-NP
Phone: 865-246-2104