Healthcare Provider Details

I. General information

NPI: 1174252084
Provider Name (Legal Business Name): EMILY TAYLOR BROWN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/07/2022
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7 N TUXEDO AVE
CHATTANOOGA TN
37411-3728
US

IV. Provider business mailing address

1101 W 40TH ST UNIT 2225
CHATTANOOGA TN
37409-1379
US

V. Phone/Fax

Practice location:
  • Phone: 876-358-2998
  • Fax:
Mailing address:
  • Phone: 877-358-2998
  • Fax: 423-486-0774

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: