Organization Active NPI

Elbow Tree Christian Counseling, LLC

  • Professional Counselor
  • Chattanooga, TN
National Provider Identifier
1831382365
Registry record updated Aug 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
560 Issued in TN
Legal business name
ELBOW TREE CHRISTIAN COUNSELING, LLC
Practice address
3069 Broad St
Suite 6
Chattanooga, TN 37408-3047
Phone
(423) 517-7070
Fax
(423) 894-9275
NPI assigned
Aug 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2007

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

Authorized official

Name
Mr. Steve McIlvaine, M.A.
Title
Licensed Professional Counselor
Phone
(423) 517-7070

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X 560 TN Primary

Addresses

Primary practice location

3069 Broad St
Suite 6
Chattanooga, TN 37408-3047

Mailing address

3069 Broad St
Suite 6
Chattanooga, TN 37408-3047
Phone (423) 517-7070

National Provider Directory

National Provider Directory

Locations

3069 Broad St
Ste 6
Chattanooga, TN 37408
Phone (423) 517-7070

NPI Registry JSON

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

{
    "created_epoch": "1187308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187308800000",
    "number": "1831382365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3069 BROAD ST",
            "address_2": "SUITE 6",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374083047",
            "telephone_number": "423-517-7070",
            "fax_number": "423-894-9275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3069 BROAD ST",
            "address_2": "SUITE 6",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374083047",
            "telephone_number": "423-517-7070",
            "fax_number": "423-894-9275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELBOW TREE CHRISTIAN COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-17",
        "last_updated": "2007-08-17",
        "status": "A",
        "authorized_official_last_name": "MCILVAINE",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "423-517-7070",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.A."
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "TN",
            "license": "560",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Aug 17, 2007; 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.