Provider Demographics
NPI:1174723480
Name:PSYCHIATRIC FOUNDATIONS, P.C.
Entity type:Organization
Organization Name:PSYCHIATRIC FOUNDATIONS, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTIE
Authorized Official - Middle Name:
Authorized Official - Last Name:JENNINGS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:423-531-4110
Mailing Address - Street 1:PO BOX 21548
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37424-0548
Mailing Address - Country:US
Mailing Address - Phone:423-531-4110
Mailing Address - Fax:423-893-0690
Practice Address - Street 1:6148 LEE HWY STE 200
Practice Address - Street 2:
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37421-3045
Practice Address - Country:US
Practice Address - Phone:423-531-4110
Practice Address - Fax:423-893-0690
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-24
Last Update Date:2011-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty