Healthcare Provider Details

I. General information

NPI: 1922542877
Provider Name (Legal Business Name): JORDAN L HARPLEY MED, LPC-MHSP, NCC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/12/2016
Last Update Date: 06/08/2026
Certification Date: 06/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

824 CHESTNUT WOOD LN
CHATTANOOGA TN
37421-4501
US

IV. Provider business mailing address

824 CHESTNUT WOOD LN
CHATTANOOGA TN
37421-4501
US

V. Phone/Fax

Practice location:
  • Phone: 423-455-9523
  • Fax: 423-264-2974
Mailing address:
  • Phone: 423-455-9523
  • Fax: 423-264-2974

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLPC0000003748
License Number StateTN
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPC0000003748
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: