Healthcare Provider Details

I. General information

NPI: 1336325026
Provider Name (Legal Business Name): TARA LYNN GILLIAM KNIGHT LCMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/14/2008
Last Update Date: 05/26/2026
Certification Date: 05/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

335 MISSION CREST LN
CHATTANOOGA TN
37404-1848
US

IV. Provider business mailing address

335 MISSION CREST LN
CHATTANOOGA TN
37404-1848
US

V. Phone/Fax

Practice location:
  • Phone: 704-763-0193
  • Fax:
Mailing address:
  • Phone: 704-763-0193
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number4130
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number4130
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: