Healthcare Provider Details

I. General information

NPI: 1316856933
Provider Name (Legal Business Name): ANNA K LATIMER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/02/2026
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1312 SPRING CREEK RD
CHATTANOOGA TN
37412-3918
US

IV. Provider business mailing address

1714 S CLAYTON AVE
CHATTANOOGA TN
37412-1110
US

V. Phone/Fax

Practice location:
  • Phone: 877-358-2998
  • Fax:
Mailing address:
  • Phone: 863-701-4496
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: