Individual
LAURIE EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
118 LEE PARKWAY DR STE 470, CHATTANOOGA, TN 37421-1761
(423) 762-1126
Mailing address
PO BOX 25001, CHATTANOOGA, TN 37422-5001
(423) 762-1126
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
CSW003778
GA
101Y00000X
Counselor
Primary
LSW0000004473
TN
101YA0400X
Addiction (Substance Use Disorder) Counselor
LSW0000004473
TN
101YM0800X
Mental Health Counselor
34003522A
IN
101YM0800X
Mental Health Counselor
CSW003778
TN
101YM0800X
Mental Health Counselor
LSW0000004473
TN
101YP2500X
Professional Counselor
CSW003778
GA
101YP2500X
Professional Counselor
LSW0000004473
TN
1041C0700X
Clinical Social Worker
34003522A
IN
1041C0700X
Clinical Social Worker
CSW003778
GA
1041C0700X
Clinical Social Worker
LSW0000004473
TN
1041S0200X
School Social Worker
CSW003778
GA
1041S0200X
School Social Worker
LSW0000004473
TN
106H00000X
Marriage & Family Therapist
CSW003778
GA
106H00000X
Marriage & Family Therapist
LSW0000004473
TN
Other
Enumeration date
07/02/2007
Last updated
11/04/2021
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