| Elu: Counseling, Consulting, And Coaching | |
|
1201 S Seminole Dr Chattanooga TN 37412-1135 | |
| (423) 486-0774 | |
| Not Available |
| Full Name | Elu: Counseling, Consulting, And Coaching |
|---|---|
| Speciality | Clinic/Center |
| Location | 1201 S Seminole Dr, Chattanooga, Tennessee |
| Authorized Official Name and Position | Kimberly Cook (DIRECTOR) |
| Authorized Official Contact | 8773582998 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Elu: Counseling, Consulting, And Coaching 1101 W 40th St Unit 2225 Chattanooga TN 37409-1379 Ph: (877) 358-2998 | Elu: Counseling, Consulting, And Coaching 1201 S Seminole Dr Chattanooga TN 37412-1135 Ph: (423) 486-0774 |
| NPI Number | 1396222394 |
|---|---|
| Provider Enumeration Date | 07/23/2018 |
| Last Update Date | 10/11/2023 |
| Certification Date | 07/17/2023 |
| Medicare PECOS PAC ID | 7719228451 |
|---|---|
| Medicare Enrollment ID | O20190408001284 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396222394 | NPI | - | NPPES |
| 312029500 | Medicaid | MD | |
| 003241099A | Medicaid | GA | |
| Q047262 | Medicaid | TN | |
| 30017475370001 | Medicaid | VA |
| Provider Name | Kimberly Cook |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235188491 PECOS PAC ID: 1153374103 Enrollment ID: I20190408001090 |
| Provider Name | Ellen Blasing |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902524002 PECOS PAC ID: 8921475039 Enrollment ID: I20221102002140 |
| Provider Name | Emily Dungey |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1336576495 PECOS PAC ID: 1951767755 Enrollment ID: I20231219001043 |
| Provider Name | Nathan David Chase |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1346720711 PECOS PAC ID: 5496105322 Enrollment ID: I20231219001318 |
| Provider Name | Rebecca Horn |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1265028831 PECOS PAC ID: 9931542834 Enrollment ID: I20240207003646 |
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