OrganizationActive
Ethel M Vicks
NPI 1457033805 · Addiction (Substance Use Disorder) Counselor · Talbott, TN
Provider details
- NPI number
- 1457033805
- Entity type
- Organization
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Ethel Vicks, Ceo(423) 353-0322
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Marriage & Family Therapist106H00000X
Behavioral Health & Social Service Providers
Practice location
162 Claire Pl
Talbott, TN 37877-1704
Phone: (423) 353-0322
Approximate (ZIP-level) locationGet directions
Mailing address
162 Claire Pl
Talbott, TN 37877-1704
Other names (DBA / former)
- Doing business as
- Make a Way for Adults
Registry dates
- Enumerated
- 2023-08-04
- Last updated
- 2023-08-04
- Certified
- 2023-08-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.