Search › Tennessee › 1041C0700X
Extasy Grinn, LCSW, CAP. ICADC
NPI 1124534912 · on the registry since 2017 · sole proprietor
Practice
- Address
- 2030 Chilhowee Medical Park
Maryville, TN 37804 - Phone
- (865) 982-3400
- Fax
- (865) 238-2034
- Organisation at this address
- Speech Pathology Services Of East Tennessee Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 69
Additional practice sites
- 4799 Palmbrooke Cir, West Palm Beach, FL
- 10133 Sherrill Blvd Ste 220, Knoxville, TN
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 101YA0400X
104100000X
1041C0700X - Licence states on file
- FL, TN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-07-09
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Tennessee