Organization
PSYCHOTHERAPY ALTERNATIVES, PLLC
Active
Other names
Psychological Alternatives, PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LAURA SCHREEDER HUBONA LCSW (CHIEF EXECUTIVE OFFICER)
(423) 510-1999
Entity
Organization
Contact information
Practice address
101 JORDAN DR, CHATTANOOGA, TN 37421-6732
(423) 510-1999
Mailing address
101 JORDAN DR, CHATTANOOGA, TN 37421-6732
(423) 510-1999
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
4272
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
202G803090
MEDICARE PTAN - GA
GA
Enumeration date
09/26/2006
Last updated
02/09/2012
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