Healthcare Provider Details

I. General information

NPI: 1013877083
Provider Name (Legal Business Name): TOVLI WELLNESS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/13/2025
Last Update Date: 11/13/2025
Certification Date: 11/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6918 SHALLOWFORD RD STE 201
CHATTANOOGA TN
37421-7714
US

IV. Provider business mailing address

6918 SHALLOWFORD RD STE 201
CHATTANOOGA TN
37421-7714
US

V. Phone/Fax

Practice location:
  • Phone: 865-253-7444
  • Fax:
Mailing address:
  • Phone: 865-253-7444
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code103TA0400X
TaxonomyAddiction (Substance Use Disorder) Psychologist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: CASEY BRIGHT
Title or Position: CEO
Credential: CEO
Phone: 419-410-1063