NPI 1225220700

Koinonia Counseling Center

Organisation Exclusive Provider Organization Knoxville, TN

Practice location

Address: 3343 Dewine Rd, Knoxville, TN 37921-4211
Phone: (865) 584-6374
Fax: (865) 584-6613

Authorised official

Name: Charles Sanderfur
Title: Owner/Therapist
Phone: (865) 584-6374

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X Licence LPC0812 (TN)

Other Exclusive Provider Organization providers in Tennessee →

Registry record

NPI: 1225220700
Entity type: Organization
NPI issued: 17 Aug 2007
Record last updated: 17 Aug 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.