Provider Demographics
NPI:1306619283
Name:HEIN, KRISTA (PHD, LMFT)
Entity type:Individual
Prefix:
First Name:KRISTA
Middle Name:
Last Name:HEIN
Suffix:
Gender:F
Credentials:PHD, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4342 WALNUT RIDGE LN
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37921-5065
Mailing Address - Country:US
Mailing Address - Phone:303-518-5126
Mailing Address - Fax:
Practice Address - Street 1:9051 EXECUTIVE PARK DR STE 103
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37923-4651
Practice Address - Country:US
Practice Address - Phone:303-518-5126
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-02
Last Update Date:2025-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist