Organization
COPING CONCEPTS CLINICAL SERVICES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JUCINTA VERNITA ROME LCSW (PRESIDENT)
(423) 718-1040
Entity
Organization
Contact information
Practice address
5705 MARLIN ROAD, SUITE 2001, CHATTANOOGA, TN 37411
(413) 718-1040
Mailing address
P.O. BOX 605, COLLEGEDALE, TN 37315
(423) 718-1040
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4447
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1508685
—
TN
Enumeration date
01/15/2009
Last updated
01/15/2009
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