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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

Other

Enumeration date
09/22/2025
Last updated
09/22/2025
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