Organization
SELF-CARE CORNER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LATOYA CARPENTER LCSW (OWNER)
(423) 400-0107
Entity
Organization
Contact information
Practice address
5751 UPTAIN RD STE 509, CHATTANOOGA, TN 37411-5675
(423) 400-0107
(800) 470-1905
Mailing address
5751 UPTAIN RD STE 509, CHATTANOOGA, TN 37411-5675
(423) 400-0107
(800) 470-1905
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q070698
—
TN
Enumeration date
12/03/2021
Last updated
09/30/2022
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