Provider Demographics
NPI:1033752597
Name:TMS OF EAST TENNESSEE PLLC
Entity Type:Organization
Organization Name:TMS OF EAST TENNESSEE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TMS COORDINATOR
Authorized Official - Prefix:
Authorized Official - First Name:EMILY
Authorized Official - Middle Name:
Authorized Official - Last Name:DEVENTE
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:865-691-1165
Mailing Address - Street 1:10241 KINGSTON PIKE STE 2
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37922-3240
Mailing Address - Country:US
Mailing Address - Phone:865-691-1165
Mailing Address - Fax:865-690-6042
Practice Address - Street 1:10241 KINGSTON PIKE STE 2
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37922-3240
Practice Address - Country:US
Practice Address - Phone:865-691-1165
Practice Address - Fax:865-690-6042
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-28
Last Update Date:2020-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)