Provider Demographics
NPI:1932749504
Name:POOLE, EMMA (LMFT)
Entity Type:Individual
Prefix:MRS
First Name:EMMA
Middle Name:
Last Name:POOLE
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:MISS
Other - First Name:EMMA
Other - Middle Name:
Other - Last Name:SERVIES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:309 HIGH ST
Mailing Address - Street 2:
Mailing Address - City:MARYVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37804-5847
Mailing Address - Country:US
Mailing Address - Phone:865-498-9041
Mailing Address - Fax:
Practice Address - Street 1:309 HIGH ST
Practice Address - Street 2:
Practice Address - City:MARYVILLE
Practice Address - State:TN
Practice Address - Zip Code:37804-5847
Practice Address - Country:US
Practice Address - Phone:865-498-9041
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-01-13
Last Update Date:2023-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN1634106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist