MRS. WANETTE BOLEN


Address: 4420 Whittle Springs Rd, Suite B, Knoxville, TN 37917-1513
Phone: 8656880661

MRS. WANETTE BOLEN (NPI# 1942250790) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1942250790
Entity Type Individual
Full Name MRS. WANETTE BOLEN
Credential LSCW
Practice Address 4420 Whittle Springs Rd
Suite B
Knoxville
TN 37917-1513
Practice Telephone 8656880661
Practice Fax Number 8656885780
Mailing Telephone 8656880661
Mailing Fax Number 8656885780
Enumeration Date 2006-05-11
Last Update Date 2009-03-20
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
LSW0000004535 TN Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
TN MAGELLAN PROVIDER NUMBER 741023000 01
TN /VALUE OPTIONS/TRI CARE 221301 01
TN 3927641 05
TN MAGELLAN 741023000 01
TN BLUE CROSS BLUE SHIELD 4094002 01
TN BCBS PROVIDER NUMBER 4094002 01

Office Location

Street Address 4420 WHITTLE SPRINGS RD
SUITE B
City KNOXVILLE
State TN
Zip Code 37917-1513

Providers in the same location

NPI Name Taxonomy Address Enumeration
1710938840 Claudia J. Werner Counselor 4420 Whittle Springs Rd, Suite B, Knoxville, TN 37917-1513 2006-05-13
1295008456 Counseling Connection, Inc. Counselor 4420 Whittle Springs Rd, Knoxville, TN 37917-1513 2012-02-20
1932246493 Stacy C Schambach Social Worker 4420 Whittle Springs Rd, Suite B, Knoxville, TN 37917-1513 2007-01-31

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1033601786 Angela Marie Barnett Licensed Practical Nurse 201 W Springdale Ave # 203, Knoxville, TN 37917 2018-05-30
1790283588 Kevin Johnson Case Manager/Care Coordinator 201 W. Springfield Ave, Knoxville, TN 37917 2018-01-26
1871011437 Sara Portwood Registered Nurse 140 Dameron Ave., Knoxville, TN 37917 2017-09-05
1962926295 Dara Steele Counselor 201 West Springdale, Knoxville, TN 37917 2017-07-28
1043740657 Stacy Banks Counselor 201 West Springdale Ave., Knoxville, TN 37917 2017-06-15
1861921215 Amy J Mccowan Registered Nurse 201 W. Springdale Ave., Knoxville, TN 37917 2017-06-08
1942756523 Skyler Daegan Winkler Counselor 201 West Springvale Avenue, Knoxville, TN 37917 2016-09-01
1821454216 Beth Cannon Case Manager/Care Coordinator 201 West Sprindale Ave, Knoxville, TN 37917 2016-01-14
1760874986 Sierra Brooke Finley Case Manager/Care Coordinator 201 W. Springdale Ave, Knoxville, TENNESSEE 37917 2015-02-25
1568860377 Megumi Takayama Maynard Family Medicine 900 E. Oak Hill Avenue, Knoxville, TN 37917 2014-12-10
Find all providers in zip 37917

Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1912512377 Wes Allen Counselor 123 Center Park Dr, Knoxville, TN 37922-2166 2020-09-12
1619581717 Natasha Schwinn Counselor 2015 Maplewood Dr, Knoxville, TN 37920-2750 2020-09-04
1316558695 Lauren Claire Lay Counselor 123 Center Park Dr Ste 104, Knoxville, TN 37922-2167 2020-08-11
1285250423 Krista Asp Counselor 504 Bobolink Rd, Knoxville, TN 37934-4722 2020-06-23
1710507660 Constance King Counselor 9111 Cross Park Dr Ste E275, Knoxville, TN 37923-4532 2020-04-21
1407402688 Allysen Efferson Counselor 9505 Fortress Ln, Knoxville, TN 37922-6683 2019-08-14
1265096242 Leigh Mitchell Owens Counselor 5401 Kingston Pike Ste 495, Knoxville, TN 37919-5043 2019-04-25
1205399003 Ann Clark Wheeler Counselor 6906 Kingston Pike Ste 104, Knoxville, TN 37919-5704 2019-04-09
1609335140 Emily Ruth Ellis Counselor 416 Country Oak Cir, Knoxville, TN 37909-3430 2019-03-14
1154891596 Lesley Shiver Counselor 4109 Garden Dr, Knoxville, TN 37918-3504 2018-11-28
Find all providers in KNOXVILLE

Competitor

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City KNOXVILLE
Zip Code 37917

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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