Time Wellness Treatment Resources LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

TIME WELLNESS TREATMENT RESOURCES LLC

Practice address

520 Lytle St
Chattanooga, TN 37405-4014

Phone

(954) 654-2350

NPI assigned

Oct 27, 2022

Last updated

Jul 17, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nicholas Canto

Title

Coo

Phone

(964) 654-2350

Specialties & licenses 5

Addresses

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

{
    "created_epoch": "1666828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689552000000",
    "number": "1851018055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1160 HAMMOND DR UNIT 409",
            "city": "SANDY SPRINGS",
            "state": "GA",
            "postal_code": "303285498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 LYTLE ST",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374054014",
            "telephone_number": "954-654-2350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIME WELLNESS TREATMENT RESOURCES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-27",
        "last_updated": "2023-07-17",
        "certification_date": "2023-07-17",
        "status": "A",
        "authorized_official_last_name": "CANTO",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "964-654-2350"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Crystal Tillery, MSN, APRN, AGACNP-BC
• Amy L. Tillett, N.P.
• Anthony G Tillman
• Time for Ketamine LLC
• Time Treatment Center LLC
• Rudy Timm
• Yuliya Timoshchuk
• Rachel E Tinaya, LCSW
• Rachael Lynskey Tindell, M.D.
• Corinne Tinkham

• Mental Health Clinic/Center (Including Community Mental Health Center) in Chattanooga, TN
• Providers in Chattanooga, TN by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2023; 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.