| Black Fox Liberation Llc | |
|
100 Winchester Rd Maynardville TN 37807-2434 | |
| (865) 232-2071 | |
| Not Available |
| Full Name | Black Fox Liberation Llc |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 100 Winchester Rd, Maynardville, Tennessee |
| Authorized Official Name and Position | Felicia Sc Morris (OWNER) |
| Authorized Official Contact | 8652322071 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Black Fox Liberation Llc 100 Winchester Rd Maynardville TN 37807-2434 Ph: (865) 232-2071 | Black Fox Liberation Llc 100 Winchester Rd Maynardville TN 37807-2434 Ph: (865) 232-2071 |
| NPI Number | 1457290579 |
|---|---|
| Provider Enumeration Date | 03/25/2026 |
| Last Update Date | 04/02/2026 |
| Certification Date | 04/02/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457290579 | NPI | - | NPPES |
| Q111670 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
Cherokee Health Systems Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 615 Main St, Maynardville, TN 37807 Phone: 865-992-2597 Fax: 865-992-2529 |