Organization
AGAPE YOUTH BEHAVIORAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COURTNEY CANTRELL (CREDENTIALING)
(423) 443-3336
Entity
Organization
Contact information
Practice address
1360 MACKEY BRANCH DR, CHATTANOOGA, TN 37421-3225
(423) 443-3336
(423) 464-7510
Mailing address
1360 MACKEY BRANCH DR, CHATTANOOGA, TN 37421-3225
(423) 443-3336
(423) 464-7510
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
31714
TN
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
31714
TN
Other
Enumeration date
05/27/2013
Last updated
04/13/2026
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