Provider Demographics
NPI:1932540358
Name:HYATT, ASHLEE COBB (LMSW)
Entity Type:Individual
Prefix:
First Name:ASHLEE
Middle Name:COBB
Last Name:HYATT
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4709 PAPERMILL DR
Mailing Address - Street 2:STE 202
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37909-1921
Mailing Address - Country:US
Mailing Address - Phone:865-525-0391
Mailing Address - Fax:
Practice Address - Street 1:4709 PAPERMILL DR
Practice Address - Street 2:STE 202
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37909-1921
Practice Address - Country:US
Practice Address - Phone:865-525-0391
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-07-14
Last Update Date:2016-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN10753104100000X
104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker