| Scenic City Alliance Of Psychiatry And Psychotherapy Pllc | |
|
7345 Courage Way Chattanooga TN 37421-1555 | |
| (423) 602-9797 | |
| Not Available |
| Full Name | Scenic City Alliance Of Psychiatry And Psychotherapy Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 7345 Courage Way, Chattanooga, Tennessee |
| Authorized Official Name and Position | Oliver Gregory (PRESIDENT/OWNER) |
| Authorized Official Contact | 4236029797 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Scenic City Alliance Of Psychiatry And Psychotherapy Pllc 7345 Courage Way Chattanooga TN 37421-1555 Ph: (423) 602-9797 | Scenic City Alliance Of Psychiatry And Psychotherapy Pllc 7345 Courage Way Chattanooga TN 37421-1555 Ph: (423) 602-9797 |
| NPI Number | 1144788753 |
|---|---|
| Provider Enumeration Date | 03/04/2019 |
| Last Update Date | 06/26/2019 |
| Medicare PECOS PAC ID | 1355670746 |
|---|---|
| Medicare Enrollment ID | O20190910003254 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144788753 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Oliver Gregory |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1588772545 PECOS PAC ID: 7012172331 Enrollment ID: I20120711000259 |
| Provider Name | Andres M Fraga |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508330150 PECOS PAC ID: 3274865498 Enrollment ID: I20191021002469 |
| Provider Name | Yaniz Seeley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043770233 PECOS PAC ID: 3476975061 Enrollment ID: I20200629001381 |
| Provider Name | Bonnie A Kidd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861067183 PECOS PAC ID: 4082018031 Enrollment ID: I20210812001889 |
| Provider Name | Erin Michelle Lawson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861068439 PECOS PAC ID: 8628472693 Enrollment ID: I20210812002960 |
| Provider Name | Erica Lynn Winter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487258794 PECOS PAC ID: 5496147357 Enrollment ID: I20220126002322 |
| Provider Name | Stephanie Elizabeth Bolton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275179574 PECOS PAC ID: 8224425566 Enrollment ID: I20220505000074 |
| Provider Name | Renee Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316671217 PECOS PAC ID: 1052796034 Enrollment ID: I20220912000983 |
| Provider Name | Brittany Huffman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043938822 PECOS PAC ID: 7315323557 Enrollment ID: I20220926002716 |
| Provider Name | Eva Marie Coleman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528766797 PECOS PAC ID: 8123484417 Enrollment ID: I20230511000392 |
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