Healthcare Provider Details

I. General information

NPI: 1073534699
Provider Name (Legal Business Name): JAMES L. PHILPOTT TH.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/21/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 GEORGIA AVE SUITE 5 - HARDWICK/HOGSHEAD BUILDING
CHATTANOOGA TN
37402-1407
US

IV. Provider business mailing address

600 GEORGIA AVE SUITE 5 - HARDWICK/HOGSHEAD BUILDING
CHATTANOOGA TN
37402-1407
US

V. Phone/Fax

Practice location:
  • Phone: 423-266-6253
  • Fax: 423-266-6257
Mailing address:
  • Phone: 423-266-6253
  • Fax: 423-266-6257

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP1600X
TaxonomyPastoral Counselor
License Number18
License Number StateTN
# 2
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number275
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: