Zackary Tyler Allred

Individual provider Active NPI Professional Counselor · Chattanooga, TN

NPI 1073432944 · NPPES record last updated Jul 14, 2026

Key facts

NPI
1073432944
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
Practice address
1360 Mackey Branch Dr
Chattanooga, TN 37421-3225
Phone
(423) 443-3336
Fax
(423) 464-7510
NPI assigned
Jul 14, 2026
Sex
Male
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Agape Youth Behavioral Health Past
since Sep 23, 2021
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X TN Yes

Addresses

Primary practice location

1360 Mackey Branch Dr
Chattanooga, TN 37421-3225

Mailing address

1360 Mackey Branch Dr
Chattanooga, TN 37421-3225
Phone (423) 443-3336

Other practice location 1

1008 Executive Dr Ste 101
Hixson, TN 37343-3992
Phone (423) 443-3336

Other providers in Chattanooga, TN

All providers in Chattanooga, TN · Professional Counselor in Tennessee

Sources for this page

Verify at the official NPI Registry.