| Hearten Studio Llc | |
|
117 Adair Dr Knoxville TN 37918-1802 | |
| (865) 742-8927 | |
| Not Available |
| Full Name | Hearten Studio Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 117 Adair Dr, Knoxville, Tennessee |
| Authorized Official Name and Position | Bethany C Dayton (SOLE MEMBER/OWNER) |
| Authorized Official Contact | 8657428927 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hearten Studio Llc 117 Adair Dr Knoxville TN 37918-1802 Ph: (865) 742-8927 | Hearten Studio Llc 117 Adair Dr Knoxville TN 37918-1802 Ph: (865) 742-8927 |
| NPI Number | 1750894887 |
|---|---|
| Provider Enumeration Date | 11/11/2017 |
| Last Update Date | 11/11/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750894887 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 178010175 (Illinois) | Secondary |
| 101YM0800X | Counselor - Mental Health | LPC0000003977 (Tennessee) | Primary |
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