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General NPI Number Information
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NPI Number | 1710444310
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Entity Type | Organization
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Legal Business Name | KNOXVILLE BEHAVIORAL & MENTAL HEALTH SERVICES
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Dates
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Enumeration Date | 03/01/2019
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Last Update Date | 05/12/2025
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Provider Practice Location Address
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Address Line | 9129 CROSS PARK DR STE 100
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City | KNOXVILLE
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State | TN
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Zip | 37923-4505
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Country | US
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Telephone | 865-983-1899
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Fax |
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Provider Business Mailing Address
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Address Line | 9129 CROSS PARK DR STE 100
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City | KNOXVILLE
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State | TN
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Zip | 37923-4505
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Country | US
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Telephone | 865-983-1899
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ARIANNA L BODDY
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Credential | PSY.D
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Telephone | 865-983-1899
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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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 | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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