MEDICARE: JUANITA TONEY, LPC-MHSP, PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor

General Provider Information

NPI Number	:	1205649639
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JUANITA TONEY, LPC-MHSP, PLLC

Provider Business Mailing Address
First Line	:	2701 N ORCHARD KNOB AVE
Second Line	:
City	:	CHATTANOOGA
State	:	TN
Zip	:	37406-2465
Country	:	US
Telephone Number	:	423-654-4116
Fax Number	:

Provider Business Practice Location Address
First Line	:	2701 N ORCHARD KNOB AVE
Second Line	:
City	:	CHATTANOOGA
State	:	TN
Zip	:	37406-2465
Country	:	US
Telephone Number	:	423-654-4116
Fax Number	:

Authorized Official
Title or Position	:	LPC-MHSP/PROVIDER
Name	:	JUANITA TONEY
Credential	:
Telephone Number	:	423-654-4116

Provider Enumeration Date	:	01/29/2025
Last Update Date	:	01/29/2025

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