Provider Demographics
NPI:1336221514
Name:STARKEY, VICTORIA (LMFT)
Entity Type:Individual
Prefix:
First Name:VICTORIA
Middle Name:
Last Name:STARKEY
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 1:523 W LAMAR ALEXANDER PKWY STE 8
Mailing Address - Street 2:
Mailing Address - City:MARYVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37801-4701
Mailing Address - Country:US
Mailing Address - Phone:865-213-1535
Mailing Address - Fax:865-269-8886
Practice Address - Street 1:523 W LAMAR ALEXANDER PKWY STE 8
Practice Address - Street 2:
Practice Address - City:MARYVILLE
Practice Address - State:TN
Practice Address - Zip Code:37801-4701
Practice Address - Country:US
Practice Address - Phone:865-213-1535
Practice Address - Fax:865-269-8886
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-19
Last Update Date:2023-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN579106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN1500992Medicaid