Healthcare Provider Details

I. General information

NPI: 1245838622
Provider Name (Legal Business Name): ALISON MORRIS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/16/2020
Last Update Date: 10/16/2020
Certification Date: 10/16/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6110 SHALLOWFORD RD
CHATTANOOGA TN
37421-1894
US

IV. Provider business mailing address

1064 E ELMWOOD DR
CHATTANOOGA TN
37405-2640
US

V. Phone/Fax

Practice location:
  • Phone: 423-499-1031
  • Fax:
Mailing address:
  • Phone: 865-297-6982
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YS0200X
TaxonomySchool Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: