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General NPI Number Information
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NPI Number | 1760353742
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Entity Type | Individual
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Provider Name | MCKENZIE RAE PARRIS MS, MFT-INTERN
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Gender | Female
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Dates
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Enumeration Date | 09/15/2025
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Last Update Date | 09/15/2025
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Provider Practice Location Address
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Address Line | 400 E MAIN ST STE 220
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City | CHATTANOOGA
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State | TN
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Zip | 37408-1331
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Country | US
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Telephone | 423-458-2036
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Fax |
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Provider Business Mailing Address
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Address Line | 1035 BEXLEY SQ APT 405
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City | CHATTANOOGA
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State | TN
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Zip | 37410-3409
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Country | US
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Telephone | 615-945-6781
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State | TN
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