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NPI 1306220769

NPI 1306220769 : MEREDITH HOWARD WOOD LPC-MHSP-AS : KNOXVILLE, TN

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General NPI Number Information
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    NPI Number           |    1306220769
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    Entity Type          |    Individual 
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    Provider Name        |    MEREDITH HOWARD WOOD LPC-MHSP-AS
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    07/16/2015
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    Last Update Date     |    06/26/2024
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Provider Practice Location Address
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    Address Line         |    1340 DOWELL SPRINGS BLVD 
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    City                 |    KNOXVILLE
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    State                |    TN
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    Zip                  |    37909-2453
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    Country              |    US
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    Telephone            |    865-314-5939
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    Fax                  |    865-297-5233
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Provider Business Mailing Address
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    Address Line         |    1340 DOWELL SPRINGS BLVD 
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    City                 |    KNOXVILLE
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    State                |    TN
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    Zip                  |    37909-2453
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    Country              |    US
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    Telephone            |    865-314-5939
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    Fax                  |    865-693-7454
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    101YM0800X
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    Taxonomy Name        |    Mental Health Counselor
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    License Number       |    3853
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    License Number State |    TN
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