Healthcare Provider Details

I. General information

NPI: 1225716467
Provider Name (Legal Business Name): DEVONNE ELIZABETH STOWERS LCMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ELIZABETH STOWERS LCMHC

II. Dates (important events)

Enumeration Date: 07/07/2023
Last Update Date: 08/07/2026
Certification Date: 08/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5708 UPTAIN RD STE 403
CHATTANOOGA TN
37411-5507
US

IV. Provider business mailing address

5708 UPTAIN RD STE 403
CHATTANOOGA TN
37411-5507
US

V. Phone/Fax

Practice location:
  • Phone: 802-234-1292
  • Fax:
Mailing address:
  • Phone: 802-234-1292
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: