Organization Active NPI

Strategies for Life of Tennessee LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Chattanooga, TN
National Provider Identifier
1821115528
Registry record updated Feb 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
L000000008511 Issued in TN
Legal business name
STRATEGIES FOR LIFE OF TENNESSEE LLC
Practice address
109 Jordan Dr
Suites a-D
Chattanooga, TN 37421-7707
Phone
(423) 553-1400
Fax
(423) 553-1444
NPI assigned
Mar 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Steve Brian
Title
Operating Manager
Phone
(318) 423-4150

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X L000000008511 TN Primary

Addresses

Primary practice location

109 Jordan Dr
Suites a-D
Chattanooga, TN 37421-7707

Mailing address

109 Jordan Dr
Suites a-D
Chattanooga, TN 37421-7707
Phone (423) 553-1400

Other identifiers 2

IdentifierTypeStateIssuer
0444648MedicaidTN
44-4468OtherMEDICARE PTAN

National Provider Directory

National Provider Directory

Locations

109 Jordan Dr
Chattanooga, TN 37421
Phone (423) 553-1400

109 Jordan Dr
Ste D
Chattanooga, TN 37421
Phone (423) 553-1400

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328140800000",
    "number": "1821115528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 JORDAN DR",
            "address_2": "SUITES A-D",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374217707",
            "telephone_number": "423-553-1400",
            "fax_number": "423-553-1444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 JORDAN DR",
            "address_2": "SUITES A-D",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374217707",
            "telephone_number": "423-553-1400",
            "fax_number": "423-553-1444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STRATEGIES FOR LIFE OF TENNESSEE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2012-02-02",
        "status": "A",
        "authorized_official_last_name": "BRIAN",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "OPERATING MANAGER",
        "authorized_official_telephone_number": "318-423-4150",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "TN",
            "license": "L000000008511",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0444648",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "44-4468",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.