Healthcare Provider Details

I. General information

NPI: 1174207930
Provider Name (Legal Business Name): ERIN TOMBERLIN RN, LPC-MHSP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/12/2023
Last Update Date: 11/06/2025
Certification Date: 11/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

975 E 3RD ST
CHATTANOOGA TN
37403-2173
US

IV. Provider business mailing address

975 E 3RD ST
CHATTANOOGA TN
37403-2173
US

V. Phone/Fax

Practice location:
  • Phone: 423-778-8304
  • Fax:
Mailing address:
  • Phone: 423-778-8304
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WL0100X
TaxonomyLactation Consultant (Registered Nurse)
License Number193463
License Number StateTN
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number6841
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: