Healthcare Provider Details

I. General information

NPI: 1861068439
Provider Name (Legal Business Name): ERIN MICHELLE LAWSON PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/03/2021
Last Update Date: 06/03/2021
Certification Date: 06/03/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7345 COURAGE WAY STE 101
CHATTANOOGA TN
37421-1555
US

IV. Provider business mailing address

6025 LEE HWY STE 306
CHATTANOOGA TN
37421-2956
US

V. Phone/Fax

Practice location:
  • Phone: 426-602-9797
  • Fax: 423-602-9796
Mailing address:
  • Phone: 423-643-2576
  • Fax: 423-648-4570

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number29583
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: