| Self-care Corner | |
|
5751 Uptain Rd Ste 509 Chattanooga TN 37411-5675 | |
| (423) 400-0107 | |
| (800) 470-1905 |
| Full Name | Self-care Corner |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 5751 Uptain Rd Ste 509, Chattanooga, Tennessee |
| Authorized Official Name and Position | Latoya Carpenter (OWNER) |
| Authorized Official Contact | 4234000107 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Self-care Corner 5751 Uptain Rd Ste 509 Chattanooga TN 37411-5675 Ph: (423) 400-0107 | Self-care Corner 5751 Uptain Rd Ste 509 Chattanooga TN 37411-5675 Ph: (423) 400-0107 |
| NPI Number | 1710645031 |
|---|---|
| Provider Enumeration Date | 12/03/2021 |
| Last Update Date | 09/30/2022 |
| Certification Date | 09/30/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710645031 | NPI | - | NPPES |
| Q070698 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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