MENTAL HEALTH CENTERS & CLINICS OF TENNESSEE (NPI# 1790811149) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790811149 |
| Entity Type | Organization |
| Organization Name | MENTAL HEALTH CENTERS & CLINICS OF TENNESSEE |
| Other Organization Name | FORTWOOD CENTER |
| Practice Address |
1028 E 3rd St Chattanooga TN 37403-2107 |
| Mailing Address |
6049 Shallowford Road Chattanooga TN 37421-1688 |
| Practice Telephone | 4232666751 |
| Practice Fax Number | 4237634650 |
| Mailing Telephone | 4232666751 |
| Mailing Fax Number | 4237634650 |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2011-10-15 |
| Authorized Official Name | MRS. MELISSA QUEEN-PENNINGTON (CFO) |
| Authorized Official Telephone | 4232666751 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
L214-076-1367 | TN | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| FORTWOOD CENTER | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861790131 | Mental Health Centers & Clinics of Tennessee | Community/Behavioral Health | 1028 E 3rd St, Chattanooga, TN 37403-2107 | 2011-03-10 |
| 1881763126 | Mental Health Centers & Clinics of Tennessee | Pharmacy | 2018 Western Ave, Knoxville, TN 37921-5718 | 2006-11-08 |
| 1841397783 | Mental Health Centers & Clinics of Tennessee | Pharmacy | 501 Adessa Pkwy, Ste A150, Lenoir City, TN 37771-6725 | 2006-09-20 |
| 1255442794 | Mental Health Centers & Clinics of Tennessee | Non-emergency Medical Transport (VAN) | 10710 Old Highway 64, Bolivar, TN 38008-3587 | 2006-08-31 |
| Street Address |
1028 E 3RD ST |
| City | CHATTANOOGA |
| State | TN |
| Zip Code | 37403-2107 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588750640 | Angelina A Supan | Psychiatry & Neurology | 1028 E 3rd St, Chattanooga, TN 37403-2107 | 2006-10-05 |
| 1861790131 | Mental Health Centers & Clinics of Tennessee | Community/Behavioral Health | 1028 E 3rd St, Chattanooga, TN 37403-2107 | 2011-03-10 |
| 1770737306 | Misty D. Ratchford | Registered Nurse | 1028 E 3rd St, Chattanooga, TN 37403-2107 | 2008-11-10 |
| 1033381272 | Elizabeth Irene Covington | Counselor | 1028 E 3rd St, Chattanooga, TN 37403-2107 | 2008-03-27 |
| 1912190794 | Daniel L. Doresk | Counselor | 1028 E 3rd St, Chattanooga, TN 37403-2107 | 2007-08-24 |
| 1790975084 | Kristen L. Adams | Case Manager/Care Coordinator | 1028 E 3rd St, Chattanooga, TN 37403-2107 | 2007-08-01 |
| 1770773285 | Kristen L. Loggins | Case Manager/Care Coordinator | 1028 E 3rd St, Chattanooga, TN 37403-2107 | 2007-07-31 |
| 1992995401 | Michael A. Fernandez | Case Manager/Care Coordinator | 1028 E 3rd St, Chattanooga, TN 37403-2107 | 2007-07-31 |
| 1326247719 | Rachel W. Parrish | Case Manager/Care Coordinator | 1028 E 3rd St, Chattanooga, TN 37403-2107 | 2007-07-16 |
| 1497954499 | Dianna S. Andrews | Case Manager/Care Coordinator | 1028 E 3rd St, Chattanooga, TN 37403-2107 | 2007-07-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033771332 | Jaimie Mills | Specialist/Technologist | 103 Metropolitan Building, Chattanooga, TN 37403 | 2019-07-08 |
| 1972092849 | Joshua Dale Gebhardt | Marriage & Family Therapist | 1024 East M L King Blvd, Chattanooga, TN 37403 | 2018-05-07 |
| 1528580750 | Klifford Hawkins | Physical Therapist | 1100 E 3rd St Ste G103, Chattanooga, TN 37403 | 2017-07-10 |
| 1861921470 | Jonathan Everett Burden | Student in an Organized Health Care Education/Training Program | 960 E 3rd St Ste 104, Chattanooga, TN 37403 | 2017-06-07 |
| 1992167092 | Majel Victoria Purvis Miles | Student in an Organized Health Care Education/Training Program | 979 E 3rd St Ste 401, Chattanooga, TN 37403 | 2016-03-28 |
| 1972942902 | Danielle Nessly | Nurse Practitioner | 730 East 11th Street, Chattanooga, TN 37403 | 2013-06-24 |
| 1023453271 | Nathan Claydon | Internal Medicine | 960 East 3rd St, Suite 104, Chattanooga, TN 37403 | 2013-05-01 |
| 1336482603 | Veronica Patterson Zachry | Student in an Organized Health Care Education/Training Program | 975 E. 3rd Street, Chattanooga, TN 37403 | 2013-04-04 |
| 1639420417 | Ctr. for Individual & Family Effectiveness | Community/Behavioral Health | 310 E. 8th St., Ste. C, Chattanooga, TN 37403 | 2012-09-20 |
| 1063773521 | Shelley L Murphy | Emergency Medicine | 1018 Blackford Street, Chattanooga, TN 37403 | 2012-05-31 |
| Find all providers in zip 37403 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073165254 | Faraday Chattanooga PC | Clinic/Center | 6031 Shallowford Rd Ste 113, Chattanooga, TN 37421-1984 | 2019-07-09 |
| 1134346661 | Solace, LLC | Clinic/Center | 3097 Broad St, Chattanooga, TN 37408-3093 | 2007-04-19 |
| 1821115528 | Strategies for Life of Tennessee LLC | Clinic/Center | 109 Jordan Dr, Suites A-d, Chattanooga, TN 37421-7707 | 2007-03-26 |
| 1588209233 | Thrivepoint, Pllc | Clinic/Center | 101 Jordan Dr, Chattanooga, TN 37421-6732 | 2019-11-15 |
| 1144788753 | Scenic City Alliance of Psychiatry and Psychotherapy Pllc | Clinic/Center | 7345 Courage Way, Chattanooga, TN 37421-1555 | 2019-03-04 |
| 1427395029 | Mind Matters, LLC | Clinic/Center | 3097 Broad St, Chattanooga, TN 37408-3093 | 2013-01-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679195036 | Mckenzie Medical Center PC | Clinic/Center | 205 Hospital Dr Ste C, Mc Kenzie, TN 38201-1649 | 2020-05-08 |
| 1316573199 | Omni Community Health | Clinic/Center | 740 Conference Drive, Suite 101, Goodlettsville, TN 37072-2084 | 2020-03-12 |
| 1942832506 | Arrow of Hope Counseling Center, Pllc | Clinic/Center | 130 Hillcrest Dr Ste 105, Clarksville, TN 37043-5064 | 2020-02-11 |
| 1184269573 | Greeneville Counseling and Consultation | Clinic/Center | 1107 Temple St Ste 406, Greeneville, TN 37745-6357 | 2019-11-09 |
| 1033752597 | Tms of East Tennessee Pllc | Clinic/Center | 10241 Kingston Pike Ste 2, Knoxville, TN 37922-3240 | 2019-10-28 |
| 1104469931 | Trailhead Treatment Center | Clinic/Center | 2607 Kingston Pike Ste 2, Knoxville, TN 37919-3336 | 2019-10-24 |
| 1801437785 | Open Door Treatment Center Inc | Clinic/Center | 3622 Merritt St, Memphis, TN 38128-3734 | 2019-10-02 |
| 1316597354 | Innovative Care Solutions | Clinic/Center | 4582 W Andrew Johnson Hwy, Morristown, TN 37814-1038 | 2019-09-11 |
| 1942854583 | Mava Healthcare System LLC | Clinic/Center | 18230 Fm 1488 Suite 201, Magnolia, TN 77354 | 2019-08-01 |
| 1255993960 | Pathways Counseling Center Inc | Clinic/Center | 1833 Ward Dr Ste 102, Murfreesboro, TN 37129-0558 | 2019-07-02 |
| Find all providers with the same taxonomy | ||||
| City | CHATTANOOGA |
| Zip Code | 37403 |
Please comment or provide details below to improve the information on MENTAL HEALTH CENTERS & CLINICS OF TENNESSEE.
| 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.