MEDICARE: TIA LAVARION CHAY DNP, PMHNP-BC

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	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	RN279305	GA

General Provider Information

NPI Number	:	1477233260
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TIA LAVARION CHAY DNP, PMHNP-BC

Provider Business Mailing Address
First Line	:	3225 SHALLOWFORD RD STE 1300
Second Line	:
City	:	MARIETTA
State	:	GA
Zip	:	30062-7033
Country	:	US
Telephone Number	:	678-560-7160
Fax Number	:

Provider Business Practice Location Address
First Line	:	3225 SHALLOWFORD RD STE 1300
Second Line	:
City	:	MARIETTA
State	:	GA
Zip	:	30062-7033
Country	:	US
Telephone Number	:	678-560-7160
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/18/2023
Last Update Date	:	11/29/2024

Similar Medicare Providers

1215889126 — SANDY PLAINS MEDICAL GROUP, LLC
Practice Location Address:

3225 SHALLOWFORD RD STE 1300
MARIETTA, GA
30062-7033

Practice Phone: 678-560-7160
Practice Fax:

1417605189 — LINDSEY B OWENS NP
Practice Location Address:

3225 SHALLOWFORD RD STE 1300
MARIETTA, GA
30062-7033

Practice Phone: 678-560-7160
Practice Fax:

1174272694 — ALEXA VICTORIA DANTZLER MD
Practice Location Address:

3225 SHALLOWFORD RD STE 1300
MARIETTA, GA
30062-7033

Practice Phone: 703-309-3557
Practice Fax:

1093666745 — THOROUGHBRED WELLNESS AND RECOVERY, LLC
Practice Location Address:

1501 JOHNSON FERRY RD STE 225
MARIETTA, GA
30062-8177

Practice Phone: 770-564-4856
Practice Fax:

1235404831 — KRISTINA KONCUL MURR M.S., LPC
Practice Location Address:

3855 SHALLOWFORD RD STE 515
MARIETTA, GA
30062-4197

Practice Phone: 678-310-0358
Practice Fax:

1962091637 — ELIZABETH HOTZ BCBA
Practice Location Address:

1519 JOHNSON FERRY RD BLDG 10
MARIETTA, GA
30062-6409

Practice Phone: 866-523-4268
Practice Fax:

Directions to “ TIA LAVARION CHAY DNP, PMHNP-BC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.