Provider Demographics
NPI:1508184961
Name:THE SOLUTION SOURCE, LLC
Entity Type:Organization
Organization Name:THE SOLUTION SOURCE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMISSIONS COORDINATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:LARA
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:FOY
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:865-525-0391
Mailing Address - Street 1:4038 GAP RD
Mailing Address - Street 2:SUITE 202
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37912-5903
Mailing Address - Country:US
Mailing Address - Phone:865-525-0391
Mailing Address - Fax:865-525-0393
Practice Address - Street 1:4038 GAP RD
Practice Address - Street 2:SUITE 202
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37912-5903
Practice Address - Country:US
Practice Address - Phone:865-525-0391
Practice Address - Fax:865-525-0393
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-11
Last Update Date:2010-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty