MENTAL HEALTH CENTERS & CLINICS OF TENNESSEE


Address: 1028 E 3rd St, Chattanooga, TN 37403-2107
Phone: 4232666751

MENTAL HEALTH CENTERS & CLINICS OF TENNESSEE (NPI# 1861790131) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1861790131
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
Practice Telephone 4232666751
Practice Fax Number 4237634650
Mailing Telephone 4232666751
Mailing Fax Number 4237634650
Enumeration Date 2011-03-10
Last Update Date 2011-03-10
Authorized Official Name MR. H. EARL MEDLEY (PRESIDENT/CEO)
Authorized Official Telephone 4232666751
Authorized Official Credential LMSW/ACSW
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251S00000X Community/Behavioral Health Agencies

Other Provider/Organization Names

Other Name Type Code
Fortwood Center Other Name - Individual/Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1790811149 Mental Health Centers & Clinics of Tennessee Clinic/Center 1028 E 3rd St, Chattanooga, TN 37403-2107 2007-02-27
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

Office Location

Street Address 1028 E 3RD ST
City CHATTANOOGA
State TN
Zip Code 37403-2107

Providers in the same location

NPI Name Taxonomy Address Enumeration
1588750640 Angelina A Supan Psychiatry & Neurology 1028 E 3rd St, Chattanooga, TN 37403-2107 2006-10-05
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
1891990933 Anna W. Fairweather Case Manager/Care Coordinator 1028 E 3rd St, Chattanooga, TN 37403-2107 2007-06-19
Find all providers in the same location

Providers in the same zip code

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 Information

Taxonomy Code 251S00000X
Grouping Agencies
Classification Community/Behavioral Health

Taxonomy Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1932745817 Sound Living Inc Community/Behavioral Health 6727 Heritage Business Court, Suite 720, Chattanooga, TN 37421 2019-11-26
1609398312 Advanced Behavioral-emotional Care Services, LLC. Community/Behavioral Health 200 W Ml King Blvd Ste 1000, Chattanooga, TN 37402-2571 2017-07-13
1992184634 Tyronda Wilkerson Community/Behavioral Health 621 Memorial Dr Apt 1903, Chattanooga, TN 37415-5528 2015-05-27
1316343650 Caring Hands & Open Hearts, LLC Community/Behavioral Health 5751 Uptain Rd Ste 105, Chattanooga, TN 37411-5671 2014-11-14
1639420417 Ctr. for Individual & Family Effectiveness Community/Behavioral Health 310 E. 8th St., Ste. C, Chattanooga, TN 37403 2012-09-20
1467708594 Ctr. for Individ. & Family Effectiveness Community/Behavioral Health 2441 Broad St., Ste. 150, Chattanooga, TN 37408 2012-07-26
1609196799 Hamilton County Health Dept Community/Behavioral Health 921 E Third St, Chattanooga, TN 37403 2010-06-11
1912134057 Fortwood Center, Inc. Community/Behavioral Health 1400 Bailey Ave, Chattanooga, TN 37404-2903 2009-06-16
1881821056 Fortwood Center, Inc. Community/Behavioral Health 1411 Bailey Ave, Chattanooga, TN 37404-2904 2009-06-16
1366679409 Fortwood Center, Inc. Community/Behavioral Health 1508 Old Ringgold Rd, Chattanooga, TN 37404-5444 2009-06-16
Find all providers in CHATTANOOGA

Competitor

Search similar providers

City CHATTANOOGA
Zip Code 37403

Improve Information

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Dataset Information

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.

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