Organization · Type 2 NPI
Black Fox Liberation LLC
Addiction (Substance Use Disorder) Counselor · Maynardville, TN
NPI number
1457290579
Active
Practice location
100 Winchester Rd
Maynardville, TN 37807-2434
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
Another provider at this address
About NPI 1457290579
Black Fox Liberation LLC's National Provider Identifier is 1457290579, issued on Mar 25, 2026. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Maynardville, TN. The record was last updated on Apr 2, 2026.