Healthcare Provider Details

I. General information

NPI: 1346155496
Provider Name (Legal Business Name): GRACE HECK
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/14/2026
Last Update Date: 08/14/2026
Certification Date: 08/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5721 MARLIN RD STE 3800
CHATTANOOGA TN
37411-5651
US

IV. Provider business mailing address

1210 REEVES AVE
CHATTANOOGA TN
37412-1126
US

V. Phone/Fax

Practice location:
  • Phone: 423-521-5678
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number14945
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: