Healthcare Provider Details

I. General information

NPI: 1851220990
Provider Name (Legal Business Name): EN GEDI INTEGRATED CARE SERVICES PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/15/2026
Last Update Date: 05/15/2026
Certification Date: 05/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

110 SOMERVILLE AVE STE 266
CHATTANOOGA TN
37405-3347
US

IV. Provider business mailing address

110 SOMERVILLE AVE STE 266
CHATTANOOGA TN
37405-3347
US

V. Phone/Fax

Practice location:
  • Phone: 423-544-7145
  • Fax:
Mailing address:
  • Phone: 423-544-7145
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: DR. RACHEL TOLLIVER
Title or Position: FOUNDER
Credential: DNP, APRN, PMHNP-BC
Phone: 423-544-7145