Brenda K Conrad, MS ED.
Individual provider Active NPI Mental Health Counselor · Knoxville, TN
NPI 1629206263 · NPPES record last updated Jun 22, 2009
Key facts
- NPI
- 1629206263
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- LPC0000001802 (TN)
- Practice address
- 1531 Dick Lonas Rd
Knoxville, TN 37909-1259 - Phone
- (865) 710-0710
- NPI assigned
- Jun 22, 2009
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC0000001802 | TN | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Florence Crittenton Agency Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LPC0000001802 | TN | Yes |
Addresses
Primary practice location
1531 Dick Lonas Rd
Knoxville, TN 37909-1259
Mailing address
1531 Dick Lonas Rd
Knoxville, TN 37909-1259
Phone (865) 710-0710
Other providers in Knoxville, TN
- Niki Connor
- Rebecca Katherine Connor
- Justice Renee Conover
- Jennifer Lyn Conrad-Rendon
- Andrew Baither Conrad
- Matthew Mark Conrad
- Sharolyn Kay Conrad
- Brian R. Conroy
- Contemporary Therapeutic Solutions, Inc.
- Contemporary Womens Health PLLC
All providers in Knoxville, TN · Mental Health Counselor in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 22, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.