Healthcare Provider Details

I. General information

NPI: 1952632945
Provider Name (Legal Business Name): PARTNERSHIP FOR FAMILIES, CHILDREN AND ADULTS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/15/2010
Last Update Date: 08/25/2020
Certification Date: 08/25/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1800 MCCALLIE AVE
CHATTANOOGA TN
37404-3025
US

IV. Provider business mailing address

1800 MCCALLIE AVE
CHATTANOOGA TN
37404-3025
US

V. Phone/Fax

Practice location:
  • Phone: 423-697-3790
  • Fax:
Mailing address:
  • Phone: 423-755-2822
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number StateNULL
# 3
Primary TaxonomyY
Taxonomy Code253J00000X
TaxonomyFoster Care Agency
License Number
License Number StateNULL
# 4
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number StateTN

VIII. Authorized Official

Name: PAM LADD
Title or Position: CEO
Credential:
Phone: 423-697-3813