Healthcare Provider Details

I. General information

NPI: 1508988049
Provider Name (Legal Business Name): NANCY D HOLLAND LPE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/04/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5805 LEE HWY SUITE 205
CHATTANOOGA TN
37421-3546
US

IV. Provider business mailing address

4211 GREEN SHANTY RD
OOLTEWAH TN
37363-8443
US

V. Phone/Fax

Practice location:
  • Phone: 423-894-6588
  • Fax: 423-894-2957
Mailing address:
  • Phone: 423-894-6598
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberCPC1377
License Number StateTN
# 2
Primary TaxonomyN
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License NumberPE01456
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: