Provider Demographics
NPI:1548743941
Name:FRIEL, JUSTIN (LMFT)
Entity Type:Individual
Prefix:
First Name:JUSTIN
Middle Name:
Last Name:FRIEL
Suffix:
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5923 KINGSTON PIKE STE 317
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37919-6344
Mailing Address - Country:US
Mailing Address - Phone:865-217-6129
Mailing Address - Fax:
Practice Address - Street 1:5923 KINGSTON PIKE
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37919-6344
Practice Address - Country:US
Practice Address - Phone:865-217-6129
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-09-11
Last Update Date:2021-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN1508106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist