TANYA SOUTHERLAND (NPI# 1033750146) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033750146 |
| Entity Type | Individual |
| Full Name | TANYA SOUTHERLAND |
| Practice Address |
6049 Shallowford Rd Chattanooga TN 37421-1688 |
| Mailing Address |
201 W Springdale Ave Knoxville TN 37917-5158 |
| Practice Telephone | 4237630101 |
| Mailing Telephone | 8656379711 |
| Enumeration Date | 2019-10-01 |
| Last Update Date | 2019-10-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| Street Address |
6049 SHALLOWFORD RD |
| City | CHATTANOOGA |
| State | TN |
| Zip Code | 37421-1688 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003200510 | Lesley Anne Wingate Crawford | Social Worker | 6049 Shallowford Rd, Chattanooga, TN 37421-1688 | 2015-03-23 |
| 1447861612 | Elizabeth Sullivan | Student in an Organized Health Care Education/Training Program | 6049 Shallowford Rd, Chattanooga, TN 37421-1688 | 2020-08-12 |
| 1932719069 | Sharice Hill | Case Manager/Care Coordinator | 6049 Shallowford Rd, Chattanooga, TN 37421-1688 | 2020-08-04 |
| 1689299430 | Briana Nicole Wimsatt | Counselor | 6049 Shallowford Rd, Chattanooga, TN 37421-1688 | 2020-06-08 |
| 1508491655 | Alexis Amaya | Case Manager/Care Coordinator | 6049 Shallowford Rd, Chattanooga, TN 37421-1688 | 2020-03-10 |
| 1356984405 | Anna Rose Coyle | Peer Specialist | 6049 Shallowford Rd, Chattanooga, TN 37421-1688 | 2019-10-22 |
| 1124676671 | Farah M Cecil | Counselor | 6049 Shallowford Rd, Chattanooga, TN 37421-1688 | 2019-08-28 |
| 1003371816 | Brendin Rogers | Case Manager/Care Coordinator | 6049 Shallowford Rd, Chattanooga, TN 37421-1688 | 2019-02-06 |
| 1093279564 | Le'darius Shakir Tate | Case Manager/Care Coordinator | 6049 Shallowford Rd, Chattanooga, TN 37421-1688 | 2019-01-29 |
| 1336619428 | Jessica Bodenhamer | Specialist | 6049 Shallowford Rd, Chattanooga, TN 37421-1688 | 2018-11-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558991588 | Janera Pentiah | Physician Assistant | 1360 Mackey Branch Dr, Chattanooga, TN 37421 | 2020-01-17 |
| 1750921367 | Stephan Ian Belasco | Counselor | 1360 Mackey Branch Dr., Chattanooga, TN 37421 | 2020-01-11 |
| 1932745817 | Sound Living Inc | Community/Behavioral Health | 6727 Heritage Business Court, Suite 720, Chattanooga, TN 37421 | 2019-11-26 |
| 1245875046 | Chattanooga Compounding Pharmacy Inc. | Pharmacy | 7032 East Brainerd Rd, Suite A-b, Chattanooga, TN 37421 | 2019-11-15 |
| 1083105803 | Trauma and Addiction Recovery Center | Counselor | 6727 Heritage Business Ct Ste 718, Chattanooga, TN 37421 | 2018-05-29 |
| 1497257448 | Claude James Bowden | Counselor | 7372 Applegate Lane, Chattanooga, TN 37421 | 2018-03-06 |
| 1093213332 | Preferred Primary Care | Clinic/Center | 6031 Shallowford Rd Ste 105, Chattanooga, TN 37421 | 2018-01-31 |
| 1124526777 | Elizabeth Marie Wright | Nurse Practitioner | 6130 Shallowford Rd Ste 101, Chattanooga, TN 37421 | 2018-01-30 |
| 1477065712 | Publix Tennessee LLC | Durable Medical Equipment & Medical Supplies | 7326 Mccutcheon Rd, Chattanooga, TN 37421 | 2017-10-26 |
| 1144746645 | Mobility At Home LLC | Contractor | 6307 E Brainerd Rd, Chattanooga, TN 37421 | 2017-08-16 |
| Find all providers in zip 37421 | ||||
| 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 | 37421 |
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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.