Healthcare Provider Details

I. General information

NPI: 1912776451
Provider Name (Legal Business Name): MY THERAPY SOLUTIONS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/26/2023
Last Update Date: 06/24/2026
Certification Date: 06/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4819 HIGHWAY 58 STE 101
CHATTANOOGA TN
37416-1869
US

IV. Provider business mailing address

4819 HIGHWAY 58 STE 101
CHATTANOOGA TN
37416-1869
US

V. Phone/Fax

Practice location:
  • Phone: 423-544-2773
  • Fax: 866-446-0276
Mailing address:
  • Phone: 423-544-2773
  • Fax: 866-446-0276

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: MACQUANETTA DENISE ROBINSON
Title or Position: SOLE MEMBER
Credential: LCSW
Phone: 423-544-2773