Lakeside of the Smokies Counseling PLLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

LAKESIDE OF THE SMOKIES COUNSELING PLLC

Practice address

1121 Hill St
Dandridge, TN 37725-4813

Phone

(865) 333-2654

NPI assigned

Sep 7, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Aubrey Noel McMillan, LCSW

Title

Ceo

Phone

(865) 333-2654

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1662508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662508800000",
    "number": "1740901750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1121 HILL ST",
            "city": "DANDRIDGE",
            "state": "TN",
            "postal_code": "377254813",
            "telephone_number": "865-333-2654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1121 HILL ST",
            "city": "DANDRIDGE",
            "state": "TN",
            "postal_code": "377254813",
            "telephone_number": "865-333-2654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKESIDE OF THE SMOKIES COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-07",
        "last_updated": "2022-09-07",
        "certification_date": "2022-09-07",
        "status": "A",
        "authorized_official_last_name": "MCMILLAN",
        "authorized_official_first_name": "AUBREY",
        "authorized_official_middle_name": "NOEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "865-333-2654",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Dandridge, TN
• Providers in Dandridge, TN by specialty
• Community/Behavioral Health Agency in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.