# THRIVING ROOTS HAVEN INCORPORATED

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639040942
- **Authorized official:** JAMECA SHEEVON FORRESTER BLS/CNA (BLS/CNA)
- **Authorized official phone:** (423) 305-9776

## Contact information

- **Practice address:** 2174 W SHEPHERD RD, CHATTANOOGA, TN 37421-2314
- **Practice address phone:** (423) 305-9776
- **Mailing address:** 2174 W SHEPHERD RD, CHATTANOOGA, TN 37421-2314
- **Mailing address phone:** (423) 305-9776

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171W00000X | Contractor | — | — | Yes |

## Other

- **Enumeration date:** 09/17/2025
- **Last updated:** 09/17/2025