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NPI Code Detail

MEDICARE: NEW GROWTH COUNSELING PLLC

MEDICARE: NEW GROWTH COUNSELING 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
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1164136891
Entity Type Code : Organization
Provider Name (Legal Business Name) : NEW GROWTH COUNSELING PLLC
Provider Business Mailing Address
First Line : 101 DALTON PLACE WAY STE 105
Second Line :
City : KNOXVILLE
State : TN
Zip : 37912-4357
Country : US
Telephone Number : 865-236-1261
Fax Number :
Provider Business Practice Location Address
First Line : 101 DALTON PLACE WAY STE 105
Second Line :
City : KNOXVILLE
State : TN
Zip : 37912-4357
Country : US
Telephone Number : 865-236-1261
Fax Number :
Authorized Official
Title or Position : OWNER
Name : WESLEY ALLEN
Credential :
Telephone Number : 865-236-1261
Provider Enumeration Date : 01/09/2023
Last Update Date : 01/09/2023

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