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NPI Code Detail

MEDICARE: MINTON FAMILY THERAPY, PLLC

MEDICARE: MINTON FAMILY THERAPY, PLLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106H00000XMarriage & Family Therapist

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11518476373OTHERNPI
21942770821OTHERNPI

General Provider Information

NPI Number : 1144803925
Entity Type Code : Organization
Provider Name (Legal Business Name) : MINTON FAMILY THERAPY, PLLC
Provider Business Mailing Address
First Line : 3031 CONNER DR
Second Line :
City : KNOXVILLE
State : TN
Zip : 37918-2427
Country : US
Telephone Number : 865-219-3352
Fax Number :
Provider Business Practice Location Address
First Line : 407 N FOREST PARK BLVD
Second Line :
City : KNOXVILLE
State : TN
Zip : 37919-5136
Country : US
Telephone Number : 865-219-3352
Fax Number :
Authorized Official
Title or Position : OWNER
Name : LINDSAY MINTON
Credential : LMFT
Telephone Number : 865-385-3467
Provider Enumeration Date : 04/30/2021
Last Update Date : 06/08/2021

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Directions to “MINTON FAMILY THERAPY, PLLC ” Practice Location

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