Active NPI
Strategies for Life of Tennessee LLC
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Chattanooga, TN
National Provider Identifier
1821115528
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- License
- L000000008511
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0444648 | Medicaid | TN | |
| 44-4468 | Other | MEDICARE PTAN |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Psychiatry Physician
- Chattanooga, TN
- NPI 1316972052
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.