Provider Demographics
NPI:1750953550
Name:THE LIONS LAMB FAMILY THERAPY LLC
Entity type:Organization
Organization Name:THE LIONS LAMB FAMILY THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:VICTORIA
Authorized Official - Middle Name:
Authorized Official - Last Name:STARKEY
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:865-213-1535
Mailing Address - Street 1:523 W LAMAR ALEXANDER PKWY STE 8
Mailing Address - Street 2:
Mailing Address - City:MARYVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37801-4701
Mailing Address - Country:US
Mailing Address - Phone:865-213-1535
Mailing Address - Fax:865-269-8886
Practice Address - Street 1:523 W LAMAR ALEXANDER PKWY STE 8
Practice Address - Street 2:
Practice Address - City:MARYVILLE
Practice Address - State:TN
Practice Address - Zip Code:37801-4701
Practice Address - Country:US
Practice Address - Phone:865-213-1535
Practice Address - Fax:865-269-8886
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-13
Last Update Date:2023-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN1500992Medicaid
TN6260257OtherBCBS