| Holly Wade Lcsw Llc | |
|
2201 Dayton Blvd Chattanooga TN 37415-6415 | |
| (203) 918-0336 | |
| Not Available |
| Full Name | Holly Wade Lcsw Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 2201 Dayton Blvd, Chattanooga, Tennessee |
| Authorized Official Name and Position | Holly E Wade (MANAGING PARTNER) |
| Authorized Official Contact | 2039180336 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Holly Wade Lcsw Llc 151 Integra Vistas Dr Apt 306 Hixson TN 37343-5378 Ph: (203) 918-0336 | Holly Wade Lcsw Llc 2201 Dayton Blvd Chattanooga TN 37415-6415 Ph: (203) 918-0336 |
| NPI Number | 1770059768 |
|---|---|
| Provider Enumeration Date | 10/17/2018 |
| Last Update Date | 10/17/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770059768 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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