Provider Demographics
NPI:1760812648
Name:KEISLER, PAIGE (LMFT)
Entity Type:Individual
Prefix:
First Name:PAIGE
Middle Name:
Last Name:KEISLER
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10414 JACKSON OAKS WAY
Mailing Address - Street 2:SUITE 102
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37922-0703
Mailing Address - Country:US
Mailing Address - Phone:865-661-9511
Mailing Address - Fax:
Practice Address - Street 1:10414 JACKSON OAKS WAY
Practice Address - Street 2:SUITE 102
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37922-0703
Practice Address - Country:US
Practice Address - Phone:865-661-9511
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-14
Last Update Date:2013-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN876106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist