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Organization
RICHARD LEWALLEN PMHNP-BC
Active
Organization
RICHARD LEWALLEN PMHNP-BC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD LEWALLEN (OWNER)
(423) 933-7186
Entity
Organization
Contact information
Practice address
414 CRISMAN ST, CHATTANOOGA, TN 37415-4528
(423) 933-7186
Mailing address
414 CRISMAN ST, CHATTANOOGA, TN 37415-4528
(423) 933-7186
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
09/22/2025
Last updated
09/22/2025
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