Healthcare Provider Details
I. General information
NPI: 1275452526
Provider Name (Legal Business Name): BRIDGEWAY PSYCHIATRY, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/13/2026
Last Update Date: 08/30/2026
Certification Date: 08/30/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
400 E MAIN ST STE 220
CHATTANOOGA TN
37408-1331
US
IV. Provider business mailing address
300 CHEROKEE BLVD STE 120
CHATTANOOGA TN
37405-4469
US
V. Phone/Fax
- Phone: 423-830-9112
- Fax: 833-556-0446
- Phone: 423-830-9113
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LP0808X |
| Taxonomy | Psychiatric/Mental Health Nurse Practitioner |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
BRITTANY
SOWDER
Title or Position: OWNER
Credential: PMHNP-BC
Phone: 423-830-9113