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General NPI Number Information
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NPI Number | 1578402459
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Entity Type | Organization
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Legal Business Name | WILDFLOWER CHILDREN'S COUNSELING, PLLC
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Dates
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Enumeration Date | 03/26/2026
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Last Update Date | 03/26/2026
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Provider Practice Location Address
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Address Line | 9047 EXECUTIVE PARK DR STE 201
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City | KNOXVILLE
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State | TN
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Zip | 37923-4625
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Country | US
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Telephone | 865-424-6371
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Fax | 865-205-5451
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Provider Business Mailing Address
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Address Line | 9047 EXECUTIVE PARK DR STE 201
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City | KNOXVILLE
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State | TN
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Zip | 37923-4625
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Country | US
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Telephone | 865-424-6371
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Fax | 865-205-5451
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Authorized Official
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Title or Position | OWNER
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Name | MELISSA ROSE
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Credential | LPC-MHSP, NCC
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Telephone | 865-200-3787
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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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