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General NPI Number Information
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NPI Number | 1366375818
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Entity Type | Organization
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Legal Business Name | SMOKY MOUNTAIN MENTAL HEALTH, LLC
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Dates
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Enumeration Date | 06/04/2026
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Last Update Date | 06/04/2026
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Provider Practice Location Address
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Address Line | 130 E MACON LN
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City | SEYMOUR
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State | TN
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Zip | 37865-4749
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Country | US
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Telephone | 865-378-7723
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Fax | 865-270-4578
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Provider Business Mailing Address
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Address Line | 130 E MACON LN
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City | SEYMOUR
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State | TN
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Zip | 37865-4749
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Country | US
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Telephone | 865-378-7723
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Fax | 865-270-4578
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Authorized Official
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Title or Position | OWNER, PRESIDENT
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Name | AMY SEAL
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Credential | PMHNP
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Telephone | 865-378-7723
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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