Provider Demographics
NPI:1891407987
Name:WITHIN HOLISTIC COUNSELING, INC
Entity Type:Organization
Organization Name:WITHIN HOLISTIC COUNSELING, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CREDENTIALING MANAGEMENT
Authorized Official - Prefix:
Authorized Official - First Name:JAMIE
Authorized Official - Middle Name:
Authorized Official - Last Name:PADGETT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:865-404-3469
Mailing Address - Street 1:200 MIDLAKE DR
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37918
Mailing Address - Country:US
Mailing Address - Phone:865-985-1084
Mailing Address - Fax:888-796-6903
Practice Address - Street 1:1000 CORPORATE POINTE
Practice Address - Street 2:SUITE 106
Practice Address - City:WARNER ROBBINS
Practice Address - State:GA
Practice Address - Zip Code:31088
Practice Address - Country:US
Practice Address - Phone:865-297-5077
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:WITHIN HOLISTIC COUNSELING, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-12-20
Last Update Date:2022-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty