BRANDON M GALLOWAY (NPI# 1003420712) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003420712 |
| Entity Type | Individual |
| Full Name | BRANDON M GALLOWAY |
| Practice Address |
1510 Old Ringgold Rd Chattanooga TN 37404-5444 |
| Mailing Address |
201 W Springdale Ave Knoxville TN 37917-5158 |
| Practice Telephone | 4232666731 |
| Mailing Telephone | 8656379711 |
| Enumeration Date | 2020-09-01 |
| Last Update Date | 2020-09-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | 101Y0000X | TN | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730786906 | Brandon Galloway | Physical Therapist | 3301 Sundown Blvd, Denton, TX 76210-8032 | 2020-10-01 |
| Street Address |
1510 OLD RINGGOLD RD |
| City | CHATTANOOGA |
| State | TN |
| Zip Code | 37404-5444 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457588592 | Fortwood Center, Inc. | Community/Behavioral Health | 1510 Old Ringgold Rd, Chattanooga, TN 37404-5444 | 2009-06-16 |
| 1528672227 | Cicley Holmes | Behavior Technician | 1510 Old Ringgold Rd, Chattanooga, TN 37404-5444 | 2020-09-01 |
| 1912517962 | Pamela Dean Rogers | Behavior Technician | 1510 Old Ringgold Rd, Chattanooga, TN 37404-5444 | 2020-08-05 |
| 1619585858 | Amanda Healy | Social Worker | 1510 Old Ringgold Rd, Chattanooga, TN 37404-5444 | 2020-07-14 |
| 1053929299 | Anouchith Romero | Behavior Technician | 1510 Old Ringgold Rd, Chattanooga, TN 37404-5444 | 2020-07-14 |
| 1598380347 | Kaitlyn Patricia Bergeron | Behavior Technician | 1510 Old Ringgold Rd, Chattanooga, TN 37404-5444 | 2020-06-08 |
| 1851916605 | Sayvion Whitaker | Social Worker | 1510 Old Ringgold Rd, Chattanooga, TN 37404-5444 | 2020-06-08 |
| 1376008201 | Christina Lucille Baez | Behavior Technician | 1510 Old Ringgold Rd, Chattanooga, TN 37404-5444 | 2019-02-05 |
| 1952872210 | Evan Jordan Taylor | Behavior Technician | 1510 Old Ringgold Rd, Chattanooga, TN 37404-5444 | 2018-12-16 |
| 1801365465 | Julie Suzanne Ballast | Behavior Technician | 1510 Old Ringgold Rd, Chattanooga, TN 37404-5444 | 2018-11-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306494216 | Cynthia Caffey | Technician | 1305 E. 28th St. Apt A, Chatta, TN 37404 | 2019-09-04 |
| 1851944482 | Stacey Stokes | Peer Specialist | 1413 Bailey Ave, Chattanooga, TN 37404 | 2019-07-23 |
| 1306354790 | Erlanger Behavioral Health, LLC | Psychiatric Hospital | 804 North Holtzclaw Avenue, Chattanooga, TN 37404 | 2018-01-19 |
| 1245746171 | Davis Supportive Living Home Inc. | Custodial Care Facility | 1106 Duncan Avenue, Chattanooga, TN 37404 | 2017-12-14 |
| 1124544762 | Rachael Anne Maciver | Nurse Practitioner | 1909 South Willow Street, Chattanooga, TN 37404 | 2017-08-15 |
| 1447796214 | Esli Castillo | Nurse Practitioner | 281 N.lyerly St., Suite 200, Chattanooga, TN 37404 | 2017-01-17 |
| 1922542158 | Natasha Elliott | Community Health Worker | 2804 Cannon Ave, Chattanooga, TN 37404 | 2016-12-07 |
| 1730630153 | Jonathan Easter | Taxi | 1611 Anderson Avenue, Apt A, Chattanooga, TN 37404 | 2016-10-20 |
| 1477946143 | Thomas Jereme Holcomb | Nurse Practitioner | 281 N. Lyerly St, Suite 200, Chattanooga, TN 37404 | 2015-03-05 |
| 1922426709 | Sarah Mccary Baker | Internal Medicine | 605 Glenwood Drive, Suite 300, Chattanooga Internal Medicine Group, Chattanooga, TN 37404 | 2014-03-31 |
| Find all providers in zip 37404 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992337927 | Erin Forgette | Counselor | 2117 Mae Dell Rd, Chattanooga, TN 37421-2426 | 2020-02-07 |
| 1215421946 | Patricia Ruth Lee Camp | Counselor | 6110 Shallowford Rd Ste O, Chattanooga, TN 37421-1994 | 2018-06-16 |
| 1083105803 | Trauma and Addiction Recovery Center | Counselor | 6727 Heritage Business Ct Ste 718, Chattanooga, TN 37421 | 2018-05-29 |
| 1003293549 | Wendy Moreno | Counselor | 1101 W 40th St Unit 2225, Chattanooga, TN 37409-1379 | 2015-05-05 |
| 1134545452 | Rebekah Hughes | Counselor | 8115 Hamilton Mill Dr, Chattanooga, TN 37421-2766 | 2014-03-11 |
| 1215292461 | Peter Wadkin Coleman | Counselor | 951 Eastgate Loop Ste 100, Chattanooga, TN 37411-5604 | 2012-07-12 |
| 1902115223 | Linda Lee Peoples | Counselor | 1614 Williams St, Chattanooga, TN 37408-1144 | 2010-10-04 |
| 1487784781 | Rowe S Royer | Counselor | 9333 Cawood Ln, Chattanooga, TN 37421-5300 | 2007-03-06 |
| 1629133004 | Bertin R Glennon | Counselor | 310 E 8th St, Suite C, Chattanooga, TN 37403-4062 | 2006-12-26 |
| 1710911805 | Thomas Lee Cory | Counselor | 545 Oak St, Chattanooga, TN 37403-1906 | 2006-07-11 |
| Find all providers in CHATTANOOGA | ||||
| City | CHATTANOOGA |
| Zip Code | 37404 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.