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General NPI Number Information
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NPI Number | 1811831316
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Entity Type | Organization
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Legal Business Name | KINDRED MINDS PSYCHIATRY, PLLC
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Dates
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Enumeration Date | 04/15/2026
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Last Update Date | 04/15/2026
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Provider Practice Location Address
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Address Line | 5611 LAKE SHORE DR
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City | KNOXVILLE
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State | TN
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Zip | 37920-5914
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Country | US
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Telephone | 865-658-4707
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Fax | 844-891-2344
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Provider Business Mailing Address
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Address Line | 5611 LAKE SHORE DR
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City | KNOXVILLE
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State | TN
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Zip | 37920-5914
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Country | US
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Telephone | 865-658-4707
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Fax | 844-891-2344
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Authorized Official
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Title or Position | PMHNP-BC
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Name | TIERRA GAUSEPOHL
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Credential | APN
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Telephone | 865-658-4707
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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