Provider Demographics
NPI:1235540832
Name:KNAPP, STEVEN TAYLOR (MS)
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:TAYLOR
Last Name:KNAPP
Suffix:
Gender:M
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2307 EDGEMON ST SE
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:TN
Mailing Address - Zip Code:37323-4021
Mailing Address - Country:US
Mailing Address - Phone:423-500-4005
Mailing Address - Fax:
Practice Address - Street 1:3505 ADKISSON DR NW STE 211
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:TN
Practice Address - Zip Code:37312-6805
Practice Address - Country:US
Practice Address - Phone:423-500-4005
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-05-16
Last Update Date:2024-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNLPC3379101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health