Provider Demographics
NPI:1174405807
Name:GIENOW, AMANDA (LPC/MHSP(T))
Entity type:Individual
Prefix:
First Name:AMANDA
Middle Name:
Last Name:GIENOW
Suffix:
Gender:F
Credentials:LPC/MHSP(T)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2824 TALLGRASS LN
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37932-1153
Mailing Address - Country:US
Mailing Address - Phone:423-215-7116
Mailing Address - Fax:
Practice Address - Street 1:7417 KINGSTON PIKE
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37919-5606
Practice Address - Country:US
Practice Address - Phone:865-551-9260
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-23
Last Update Date:2025-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN7789101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health