Provider Demographics
NPI:1457242307
Name:OWENS, KRISTEN (BS, MS)
Entity type:Individual
Prefix:
First Name:KRISTEN
Middle Name:
Last Name:OWENS
Suffix:
Gender:F
Credentials:BS, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:121 ANCHOR LN
Mailing Address - Street 2:
Mailing Address - City:ANDERSONVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37705-3213
Mailing Address - Country:US
Mailing Address - Phone:865-308-3818
Mailing Address - Fax:
Practice Address - Street 1:109 LEINART ST
Practice Address - Street 2:
Practice Address - City:CLINTON
Practice Address - State:TN
Practice Address - Zip Code:37716-3630
Practice Address - Country:US
Practice Address - Phone:865-264-4455
Practice Address - Fax:865-269-5924
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-10
Last Update Date:2025-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)