Organization
FORESIGHT VIRTUAL MENTAL HEALTH CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TINA MARIE FOX PMHNP-BC (OWNER)
(423) 715-7893
Entity
Organization
Contact information
Practice address
TELEHEALTH, CHATTANOOGA, TN 37421
(423) 715-7893
(423) 295-8984
Mailing address
PO BOX 1555, COLLEGEDALE, TN 37315-1555
(423) 715-7893
(423) 295-8984
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1760632434
NPI
TN
Enumeration date
08/20/2021
Last updated
08/20/2021
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