| Tennessee Ketamine & Therapeutics | |
|
718 W Lamar Alexander Pkwy Maryville TN 37801-3943 | |
| (865) 233-6188 | |
| Not Available |
| Full Name | Tennessee Ketamine & Therapeutics |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 718 W Lamar Alexander Pkwy, Maryville, Tennessee |
| Authorized Official Name and Position | Emma Rothery (CEO) |
| Authorized Official Contact | 8653049622 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tennessee Ketamine & Therapeutics 718 W Lamar Alexander Pkwy Maryville TN 37801-3943 Ph: (865) 304-9622 | Tennessee Ketamine & Therapeutics 718 W Lamar Alexander Pkwy Maryville TN 37801-3943 Ph: (865) 233-6188 |
| NPI Number | 1427844653 |
|---|---|
| Provider Enumeration Date | 04/15/2025 |
| Last Update Date | 04/15/2025 |
| Certification Date | 04/15/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427844653 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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