Provider Demographics
NPI:1700535424
Name:LEMUS, ALMA BEATRIZ (MA MFT)
Entity Type:Individual
Prefix:
First Name:ALMA
Middle Name:BEATRIZ
Last Name:LEMUS
Suffix:
Gender:F
Credentials:MA MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:234 DUZANE DR
Mailing Address - Street 2:
Mailing Address - City:FARRAGUT
Mailing Address - State:TN
Mailing Address - Zip Code:37934-1817
Mailing Address - Country:US
Mailing Address - Phone:361-695-6496
Mailing Address - Fax:
Practice Address - Street 1:6000 WALDEN DR STE 102
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37919-6364
Practice Address - Country:US
Practice Address - Phone:361-695-6496
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-21
Last Update Date:2022-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN1696106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist