STEPHAN IAN BELASCO (NPI# 1750921367) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750921367 |
| Entity Type | Individual |
| Full Name | STEPHAN IAN BELASCO |
| Practice Address |
1360 Mackey Branch Dr. Chattanooga TN 37421 |
| Mailing Address |
6409 White Tail Dr Ooltewah TN 37363-5817 |
| Practice Telephone | 4233222748 |
| Mailing Telephone | 4233222748 |
| Enumeration Date | 2020-01-11 |
| Last Update Date | 2020-01-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
1360 MACKEY BRANCH DR. |
| City | CHATTANOOGA |
| State | TN |
| Zip Code | 37421 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558991588 | Janera Pentiah | Physician Assistant | 1360 Mackey Branch Dr, Chattanooga, TN 37421 | 2020-01-17 |
| 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 |
| 1457875064 | Riverview Medical Services | Nurse Practitioner | 6148 Lee Highway, Suite 107, Chattanooga, TN 37421 | 2017-07-26 |
| Find all providers in zip 37421 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467094235 | Janelle Billingy | Counselor | 1918 Union Ave, Chattanooga, TN 37404-3619 | 2019-10-14 |
| 1962066167 | Carina Grace Pearson | Counselor | 1024 East M L King, Chattanooga, TN 37402 | 2019-04-24 |
| 1396222394 | Elu | Counselor | 1201 S Seminole Dr, Chattanooga, TN 37412-1135 | 2018-07-23 |
| 1497257448 | Claude James Bowden | Counselor | 7372 Applegate Lane, Chattanooga, TN 37421 | 2018-03-06 |
| 1184125833 | Laura E Watts | Counselor | 117 Nowlin Ln Ste 400, Chattanooga, TN 37421-7322 | 2018-02-27 |
| 1891201695 | Asha L Coleman | Counselor | 927 W 37th St, Chattanooga, TN 37410-1207 | 2017-12-17 |
| 1932612074 | Katherine Anne Gilliard | Counselor | 2322 Covey Ln, Chattanooga, TN 37421-1332 | 2017-11-12 |
| 1972024578 | Bridget Evangeline Day | Counselor | 6236 Airpark Dr Ste A, Chattanooga, TN 37421-2988 | 2017-07-05 |
| 1588185672 | Insight Counseling & Evaluation Center, Pllc | Counselor | 7239 E Brainerd Rd, Chattanooga, TN 37421-3841 | 2017-06-29 |
| 1275077042 | Tyler Orr | Counselor | 6245 Vance Rd Ste C, Chattanooga, TN 37421-0309 | 2016-12-13 |
| Find all providers in CHATTANOOGA | ||||
| City | CHATTANOOGA |
| Zip Code | 37421 |
Please comment or provide details below to improve the information on STEPHAN IAN BELASCO.
| 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.